Tross
CoverMyMeds

List prior auth forms

List prior auth forms in CoverMyMeds

POSThttps://api.ontross.com/api/integrations/covermymeds/list-prior-auth-forms
Request Fields
input.state
string
required
Patient or coverage state (two-letter abbreviation).
Example
"MA"
input.drug_query
string
Medication name or NDC to resolve to a drug DDID.
Example
"Humira"
input.drug_ddid
string
Exact drug DDID returned by a prior search.
Example
"184521"
input.payer_name
string
Payer or plan name to search.
Example
"Aetna"
input.bin
string
Pharmacy benefit BIN, retained as a string.
Example
"610502"
input.pcn
string
Processor routing code printed on the pharmacy insurance card.
Example
"MEDDADV"
input.rx_group
string
Pharmacy benefit grouping code printed on the insurance card.
Example
"RXEXAMPLE01"
input.benefit_type
string
Coverage category associated with the requested authorization form.
Example
"Pharmacy"
auth_id
string
required
Saved connection to run this operation through, from the Authentication page. It decides which practice and login the call uses.
Example
"00000000-0000-4000-8000-000000000000"
Output Fields
drugs
array
Exact form-picker drug candidates, including DDIDs.
forms
array
Exact form-picker candidates for the selected drug and coverage.
next_action
string
Required selection step following the current picker results.
Example
"choose_form"
Code
curl --request POST \
  --url https://api.ontross.com/api/integrations/covermymeds/list-prior-auth-forms \
  --header 'X-API-Key: REPLACE_KEY_VALUE' \
  --header 'content-type: application/json' \
  --data '{"input":{"state":"MA","drug_query":"Humira","drug_ddid":"184521","payer_name":"Aetna","bin":"610502","pcn":"MEDDADV","rx_group":"RXEXAMPLE01","benefit_type":"Pharmacy"},"auth_id":"auth_uuid_here"}'
Request BODY
{
  "input": {
    "state": "MA",
    "drug_query": "Humira",
    "drug_ddid": "184521",
    "payer_name": "Aetna",
    "bin": "610502",
    "pcn": "MEDDADV",
    "rx_group": "RXEXAMPLE01",
    "benefit_type": "Pharmacy"
  },
  "auth_id": "auth_uuid_here"
}
Response BODY
{
  "id": "string",
  "workflow_id": "string",
  "auth_id": "string",
  "status": "string",
  "input": {},
  "output": {
    "drugs": [
      {}
    ],
    "forms": [
      {}
    ],
    "next_action": "choose_form"
  },
  "files": null,
  "created_at": "2019-08-24T14:15:22Z",
  "started_at": "2019-08-24T14:15:22Z",
  "completed_at": "2019-08-24T14:15:22Z"
}