Compute for rendering provider

Beta
POST
/api/expected-network-status/v2/compute/:rendering_provider_id

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

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