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POST
/
prior_auths
/
{prior_auth_id}
/
determination
cURL
curl --request POST \
  --url https://app.casehealth.ai/api/v1/prior_auths/{prior_auth_id}/determination \
  --header 'X-API-Key: <api-key>'
import requests

url = "https://app.casehealth.ai/api/v1/prior_auths/{prior_auth_id}/determination"

headers = {"X-API-Key": "<api-key>"}

response = requests.post(url, headers=headers)

print(response.text)
const options = {method: 'POST', headers: {'X-API-Key': '<api-key>'}};

fetch('https://app.casehealth.ai/api/v1/prior_auths/{prior_auth_id}/determination', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));
<?php

$curl = curl_init();

curl_setopt_array($curl, [
CURLOPT_URL => "https://app.casehealth.ai/api/v1/prior_auths/{prior_auth_id}/determination",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "POST",
CURLOPT_HTTPHEADER => [
"X-API-Key: <api-key>"
],
]);

$response = curl_exec($curl);
$err = curl_error($curl);

curl_close($curl);

if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}
package main

import (
"fmt"
"net/http"
"io"
)

func main() {

url := "https://app.casehealth.ai/api/v1/prior_auths/{prior_auth_id}/determination"

req, _ := http.NewRequest("POST", url, nil)

req.Header.Add("X-API-Key", "<api-key>")

res, _ := http.DefaultClient.Do(req)

defer res.Body.Close()
body, _ := io.ReadAll(res.Body)

fmt.Println(string(body))

}
HttpResponse<String> response = Unirest.post("https://app.casehealth.ai/api/v1/prior_auths/{prior_auth_id}/determination")
.header("X-API-Key", "<api-key>")
.asString();
require 'uri'
require 'net/http'

url = URI("https://app.casehealth.ai/api/v1/prior_auths/{prior_auth_id}/determination")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["X-API-Key"] = '<api-key>'

response = http.request(request)
puts response.read_body
{
  "determination": {
    "status": "approved",
    "reasoning": [
      {
        "step": 1,
        "description": "Patient meets age and diagnosis criteria for ADHD treatment",
        "source": "policy_document/section_3.2"
      },
      {
        "step": 2,
        "description": "No concurrent contraindicated medications identified in claim history",
        "source": "claim_history"
      },
      {
        "step": 3,
        "description": "Step therapy requirement completed - patient tried immediate-release stimulants",
        "source": "prior_auth_history"
      }
    ],
    "recommendation": "Approve PA for Adzenys XR 30-day supply",
    "references": [
      "policy_document/ADZENYS_XR.pdf",
      "claim_history",
      "prior_auth_history"
    ],
    "generated_at": "2025-08-22T17:45:00Z"
  }
}
{
"error": 123,
"message": "<string>"
}
{
"error": 123,
"message": "<string>"
}
{
"error": 123,
"message": "<string>"
}

Authorizations

X-API-Key
string
header
required

Path Parameters

prior_auth_id
string<uuid>
required

Unique identifier of the prior authorization

Response

Determination generated successfully

determination
object
Example:
{
"status": "approved",
"reasoning": [
{
"step": 1,
"description": "Patient meets age and diagnosis criteria for ADHD treatment",
"source": "policy_document/section_3.2"
},
{
"step": 2,
"description": "No concurrent contraindicated medications identified in claim history",
"source": "claim_history"
},
{
"step": 3,
"description": "Step therapy requirement completed - patient tried immediate-release stimulants",
"source": "prior_auth_history"
}
],
"recommendation": "Approve PA for Adzenys XR 30-day supply",
"references": [
"policy_document/ADZENYS_XR.pdf",
"claim_history",
"prior_auth_history"
],
"generated_at": "2025-08-22T17:45:00Z"
}