Compute for rendering provider

Beta
POST
Computes the expected network status for a given rendering provider. This endpoint is not available to all customers. Reach out to the Candid sales team to discuss enabling this endpoint if it is not available for your organization.

Path parameters

rendering_provider_idUUIDRequired

Request

This endpoint expects an object.
service_typeenumRequired

For some payers, payer routing depends on whether the rendered service qualifies as a behavioral health visit (e.g. Blue Shield of California routes to Magellan for behavioral health visits).

For post appointment payer routing, Candid uses a CPT code list to determine whether the appointment qualifies as a behavioral health visit (see “Inputs: Service Type” in the appendix for list of qualifying CPT codes and behavioral health routing logic). Since CPT codes are not available pre-appointment, the service type input is used to determine whether the appointment is expected to qualify as behavioral health.

place_of_service_codeenumRequired
Expected place of service
subscriber_informationobjectRequired
Information present on the patient's insurance card
patient_addressobjectRequired
billing_provider_idUUIDRequired
organization_service_facility_idUUIDRequired
The id of the service facility where the appointment will be rendered
date_of_servicedateRequired
Expected date of service

Response

This endpoint returns an object.
network_status_check_idUUID
network_statusobject

Errors