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>"
}Prior Auths
Run Determination
Submits a determination for a specific prior authorization. This will run a policy check, generate a summary, and submit supporting information.
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
Path Parameters
Unique identifier of the prior authorization
Response
Determination generated successfully
Show child attributes
Show child attributes
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"
}
⌘I