Compute for rendering provider
BetaComputes 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_id
Headers
Authorization
OAuth authentication of the form <token>.
Request
This endpoint expects an object.
service_type
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_code
Expected place of service
subscriber_information
Information present on the patient's insurance card
patient_address
billing_provider_id
organization_service_facility_id
The id of the service facility where the appointment will be rendered
date_of_service
Expected date of service
Response
This endpoint returns an object.
network_status_check_id
network_status