CoverageEligibilityRequest-GET
Description
Retrieves detailed information on eligibility requests, enabling healthcare developers to access and display real-time data regarding patients' insurance coverage inquiries for streamlined verification and validation within clinical workflows.
Use Cases
- Member Outreach Queue Assembly: Retrieve patients lacking insurance details
- High Dollar Claim Audit Worklist: Construct pending claims lacking checks
- Clinical Trial Recruitment Packages: Gain visibility into uninsured study costs
- Care Pathway Eligibility Alarm: Filter subscribers with expired approvals
- 340B Program Qualification Audits: Assemble excluded policy patients
Request Sample
Athena
Elation
Canvas
cURL
JavaScript
Java
Python
Source Specific Details
Filters
| FilterName | Description | Default Value | Allowed Values |
|---|---|---|---|
| _count | Pagination params | ||
| _offset | Pagination params. Athena: Starting point of entries; 0-indexed | ||
| departmentId | Identifier for the department | ||
| include | List of fields which needed to be shown in result | ||
| patient | Patient reference for any fhir resource | ||
| practitioner | Practitioner reference for the any fhir resource | ||
| quorum | sets sync/async mode | true |