Prior Authorization Automation

Utilization Management and Prior Authorization (UMPA) API

The UMPA API enables uploading, processing, extracting, and adjudicating PDF documents related to patient prior authorizations and medical necessity review.

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Private beta

The embeddings API is currently in private beta. If. you would like access to the API, please email [email protected]

API Documentation

For detailed API documentation, please visit the API reference

Key Features

• Case Management: Create, retrieve, update, and delete cases
• Document Handling: Upload and manage PDF documents associated with cases
• Data Extraction: Extract patient data from uploaded documents
• Policy Management: Access and manage medical necessity policies
• Adjudication: Perform automated adjudication based on policies and patient data
• Code Lookup: Search for relevant policies using CPT, ICD10, or HCPCS codes
• Patient Information: Manage patient records and associated health plans
• FHIR Server Integration: Fully compatible with any FHIR server and HL7 DaVinci Prior Authorization API (CRD, DTR, PAS)