Get Medical Inquiries

Example response

[
  {
    "creation_ts": "2020-01-01T00:00:00.000000Z",
    "summary": "Benefits retrieved successfully.",
    "results": {
      "call_details": [
        {
          "call_end_time": "2024-03-01T06:00:00.0000Z",
          "representative_name": "Deborah M",
          "reference_number": "2812129",
          "call_recording_url": "https://www.google.com/voice_recording.wav",
          "transcript": "..."
        }
      ],
      "similar_claim_dates": [
        "01-15-2020",
        "01-31-2020"
      ],
      "claims_info": [
        {
          "main_class": "ClaimApprovedInfo",
          "date_of_service": "01-31-2020",
          "claim_summary": "Claim paid",
          "date_received": "01-31-2020",
          "date_processed_up_to": "01-31-2020",
          "turnaround_time": "21 business days",
          "date_processed": "01-31-2020",
          "date_paid": "01-31-2020",
          "total_amount_paid": 100,
          "adjustment_details": "Adjusted for deductible",
          "code_details": [
            {
              "procedure_code": "99213",
              "amount_paid": 100,
              "patient_responsibility": 20,
              "patient_applied_to_deductible": 10
            }
          ],
          "claim_denial_reason": "Not covered due to frequency"
        }
      ],
      "claim_not_found_info": {
        "patient_eligible_on_dos": true
      }
    },
    "request": {
      "desired_completion_date": "03-19-2024",
      "patient_name": "Alex Martin",
      "dob": "01-31-2020",
      "member_id": "123456789",
      "group_id": "123456",
      "npi": "1234567890",
      "billing_npi": "1234567890",
      "rendering_npi": "1234567890",
      "tax_id": "123456789",
      "practice_billing_address": "123 Main St, New York, NY 10001",
      "diagnosis_codes": [
        "F41.1",
        "F42.23"
      ],
      "claims_date_of_service": "01-31-2020",
      "claim_number": "1234567890",
      "additional_info": "The patient is on a Medicare plan and we need to know their secondary insurance benefits.",
      "insurance": "United Healthcare",
      "benefits_query": [
        "PULMONARY_REHAB_COVERAGE"
      ],
      "benefits_codes": [
        "99395"
      ],
      "is_specialist": true,
      "place_of_service": "doctors office",
      "billed_amount": 100,
      "insurance_payor_id": "60054"
    }
  }
]