Create Dental Inquiries
Authorizations
The access token received from the authorization server in the OAuth 2.0 flow.
Body
type of the inquiry
CLAIMS_STATUS, BENEFITS, UNKNOWN The requested completion date of the inquiry in MM-DD-YYYY format. Calls will typically be completed by the morning of the requested completion date, but in some cases may be completed earlier.
name of the patient
date of birth of the patient in MM-DD-YYYY format
member id of the patient
group id of the patient
whether or not the provider is in-network. If it is not known, leave this field blank and it will be determined.
Ten digit NPI of the provider
Nine digit tax id of the provider
An identifier which you can define and pass in with your creation request. This is useful for tracking a specific subgroup of inquiries. For instance, you can assign a unique external id to all inquiries for a specific provider on your platform.
The billing address of the practice. If omitted, the address will be determined from the NPI.
Any diagnosis codes for the patient. If omitted, a general diagnosis code will be used.
The date of service for the claim in MM-DD-YYYY format. Only used for claims inquiries.
The claim number for the inquiry if provided by the user. Only used for claims inquiries.
The insurance provider for the patient.
AETNA, CIGNA, HEALTHPLEX, HUMANA, METLIFE, UNITED_HEALTHCARE, UNKNOWN The benefits queries for the inquiry if provided by the user. Can be either a pre-defined set of questions (e.g. STANDARD for returning patients) or an ad-hoc defined set of codes.
STANDARD, CODE_LOOKUP_BENEFITS, CODE_LOOKUP_FREQUENCIES, TREATMENT_HISTORY, DEDUCTIBLES_AND_MAXIMUMS, UNKNOWN Codes processed for a CODE_LOOKUP_BENEFITS or a CODE_LOOKUP_PRIOR_AUTH benefits inquiry. The first character in the CDT codes (D) can be optionally omitted.
The type of provider making the inquiry. If the provider is a specialist (e.g. periodontist, oral surgeon), set this to True. If the provider is a dentist, set this to False. Defaults to False if not provided.