Get Medical Inquiries

[
  {
    "id": "<string>",
    "status": "SUCCESS",
    "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": "..."
        }
      ],
      "plan_information": {
        "is_active": true,
        "plan_type": "PPO",
        "effective_date": "10-01-2020",
        "termination_date": "10-31-2021",
        "is_calendar_year_plan": true,
        "is_provider_in_network": true,
        "is_primary_insurance": true
      },
      "maximums": {
        "individual_deductible": "100",
        "individual_deductible_used": "80",
        "individual_out_of_pocket_maximum": "1000",
        "individual_out_of_pocket_maximum_used": "800",
        "family_deductible": "200",
        "family_deductible_used": "100",
        "family_out_of_pocket_maximum": "2000",
        "family_out_of_pocket_maximum_used": "1000"
      },
      "procedure_classes": {
        "PHYSICAL_THERAPY": {
          "is_covered": true,
          "is_prior_auth_required": true,
          "prior_auth_info": "Call Benefits Office at 555-999-1234.",
          "is_deductible_waived": true,
          "copay_amount": "50.00",
          "coinsurance_percentage": "30",
          "frequency_limitations": "None"
        },
        "CHIROPRACTIC": {
          "is_covered": false,
          "more_info": ""
        }
      },
      "procedure_codes": [
        [
          {
            "procedure_code": "94625",
            "procedure_name": "Pulmonary Rehabilitation Coverage"
          },
          {
            "is_covered": true,
            "is_prior_auth_required": true,
            "prior_auth_info": "Call United Healthcare at 555-123-1234",
            "is_deductible_waived": false,
            "copay_amount": "20.00",
            "coinsurance_percentage": "20",
            "frequency_limitations": "Two visits per week",
            "more_info": "Diagnosis of medium to severe COPD is required for coverage."
          }
        ],
        [
          {
            "procedure_code": "94626",
            "procedure_name": "Pulmonary Rehabilitation Coverage"
          },
          {
            "is_covered": false,
            "more_info": ""
          }
        ]
      ]
    },
    "request": {
      "type": "BENEFITS",
      "desired_completion_date": "03-19-2024",
      "patient_name": "Alex Martin",
      "dob": "01-31-2020",
      "member_id": "123456789",
      "group_id": "123456",
      "insurance_in_network": true,
      "npi": "1234567890",
      "tax_id": "123456789",
      "external_id": "<string>",
      "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"
      ],
      "benefits_form_name": "",
      "is_specialist": true,
      "place_of_service": "doctors office",
      "billed_amount": 100,
      "insurance_payor_id": "60054",
      "insurance_phone_number": "<string>"
    }
  }
]