Create Mental Health Inquiry
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, HUMANA, OPTUM, OXFORD, UNITED_HEALTHCARE, UNKNOWN The specific set of benefits to query. These are customized for each customer. Contact alan@healthharbor.co for details.
DEDUCTIBLES_AND_MAXIMUMS, PLAN_INFO, CODE_LOOKUP_PRIOR_AUTH, CODE_LOOKUP_BENEFITS, REMICADE, PULMONARY_REHAB_COVERAGE, UNKNOWN The type of provider making the inquiry. If the provider is a specialist, set this to True. If the provider is a general PCP, set this to False.
Where the service will be performed. This is typically one of a few places: the doctors office, telehealth or an ambulatory surgical center. See this page for the full list: https://www.cms.gov/medicare/coding-billing/place-of-service-codes/code-sets
The billed amount for the claim. Value should be a float with 2 decimal places. Only used for claims inquiries.