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POST
/
api
/
2.0
/
patient_insurances
/
{id}
/
eligibility
/
Create Eligibility
curl --request POST \
  --url https://sandbox.elationemr.com/api/2.0/patient_insurances/{id}/eligibility/ \
  --header 'Authorization: Bearer <token>' \
  --header 'Content-Type: application/json' \
  --data '
{
  "group_id": 123,
  "group_name": "<string>",
  "group_npi": "<string>"
}
'
{
  "eligibility_check_timestamp": "2023-11-07T05:31:56Z",
  "eligibility_details": {
    "coinsurance": "<string>",
    "coinsurance_ambiguous": true,
    "copay": 123,
    "copay_ambiguous": true,
    "deductible": "<string>",
    "deductible_ambiguous": true,
    "deductible_remaining": "<string>",
    "deductible_remaining_ambiguous": true,
    "errors": [
      {}
    ]
  },
  "patient_id": 123,
  "patient_insurance_id": 123,
  "practice_id": 123
}

Authorizations

​
Authorization
string
header
required

The access token received from the authorization server in the OAuth 2.0 flow.

Path Parameters

​
id
integer
required

The id of the patient insurance

Body

application/json
​
group_id
integer

ID that matches the group record in Elation system

​
group_name
string

Name of the group / organization. group_npi field is required if this is populated.

​
group_npi
string

NPI of the group / organization. group_name field is required if this is populated.

Response

200 - application/json
​
eligibility_check_timestamp
string<date-time>

Eligibility check timestamp in ISO format.

​
eligibility_details
object
​
eligibility_status
enum<string>

Status of eligibility check.

  • active - active
  • inactive - inactive
  • error - error
Available options:
active,
inactive,
error
​
patient_id
integer

Patient's id in Elation system.

​
patient_insurance_id
integer

Patient's insurance id in Elation system.

​
practice_id
integer

Practice's id in Elation system.