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POST
/
api
/
v1
/
actions
/
{id}
/
approve
Error
A valid request URL is required to generate request examples
{
  "id": "<string>",
  "action_communications": [
    {}
  ],
  "action_type": "call",
  "approved_at": "<string>",
  "call_context": {
    "greeting": "<string>",
    "objective_summary": "<string>",
    "objectives": [
      {
        "text": "<string>",
        "priority": 123
      }
    ],
    "decision_branches": [
      {
        "scenario": "<string>",
        "action": "<string>",
        "capture": [
          "<string>"
        ]
      }
    ],
    "extraction_schema": {
      "reference_number": {
        "type": "<string>",
        "description": "<string>"
      },
      "rep_name": {
        "type": "<string>",
        "description": "<string>"
      },
      "rep_extension": {
        "type": "<string>",
        "description": "<string>"
      },
      "call_outcome": {
        "type": "<string>",
        "enum": [
          "<string>"
        ],
        "description": "<string>"
      },
      "next_steps_described": {
        "type": "<string>",
        "description": "<string>"
      },
      "callback_promised": {
        "type": "<string>",
        "description": "<string>"
      },
      "callback_within_days": {
        "type": "<string>",
        "description": "<string>"
      },
      "resolution_status": {
        "type": "<string>",
        "enum": [
          "<string>"
        ],
        "description": "<string>"
      },
      "appeal_address": {
        "type": "<string>",
        "description": "<string>"
      },
      "documentation_requirements": {
        "type": "<string>",
        "description": "<string>"
      },
      "appeal_deadline_confirmed": {
        "type": "<string>",
        "description": "<string>"
      }
    },
    "claim_summary": {
      "claim_id": "<string>",
      "denial_count": 123,
      "total_denied_amount": "<string>",
      "denials": [
        {
          "id": "<string>",
          "procedure_code": "<string>",
          "description": "<string>",
          "denied_amount": "<string>",
          "service_date": "<string>",
          "denial_code": "<string>",
          "reason": "<string>",
          "reason_code_description": "<string>"
        }
      ]
    },
    "reference_data": {
      "patient_name": "<string>",
      "member_id": "<string>",
      "date_of_birth": "<string>",
      "claim_id": "<string>",
      "denials": [
        {
          "id": "<string>",
          "procedure_code": "<string>",
          "description": "<string>",
          "denied_amount": "<string>",
          "service_date": "<string>",
          "denial_code": "<string>",
          "reason": "<string>",
          "reason_code_description": "<string>"
        }
      ],
      "total_denied_amount": "<string>",
      "prior_reference_numbers": [
        "<string>"
      ],
      "prior_rep_names": [
        "<string>"
      ],
      "promise_details": [
        {}
      ],
      "authorization_status": "<string>",
      "ivr_steps": true,
      "insurer_tips": true,
      "overturn_reasoning": "<string>"
    },
    "prior_interactions": [
      {}
    ],
    "data_completeness": {
      "completeness_percent": 123,
      "missing_fields": [
        {
          "field": "<string>",
          "tier": "<string>"
        }
      ],
      "field_availability": {
        "patient_name": true,
        "member_id": true,
        "claim_id": true,
        "phone_number": true,
        "date_of_birth": true,
        "authorization_status": true,
        "denial_code": true,
        "service_date": true,
        "denied_amount": true,
        "ivr_steps": true,
        "insurer_tips": true,
        "prior_reference_numbers": true,
        "policy_number": true
      }
    },
    "state_signals": {
      "is_first_contact": true,
      "has_pending_promises": true,
      "escalation_warranted": true,
      "forms_pending_confirmation": true,
      "denial_count": 123,
      "prior_call_count": 123
    },
    "overturn_arguments": {
      "reasoning": "<string>",
      "confidence_score": 123,
      "denial_type": "<string>",
      "recommended_strategy": "<string>"
    },
    "call_config": {
      "voice": "<string>",
      "model": "<string>",
      "language": "<string>",
      "wait_for_greeting": true,
      "record": true
    },
    "max_duration": 123,
    "voice": "<string>",
    "phone_number": "<string>",
    "insurer_name": "<string>",
    "department": "<string>",
    "deadline_urgency": {
      "days_remaining": 123,
      "urgency_level": "normal"
    }
  },
  "completed_at": "<string>",
  "created_at": "<string>",
  "error_message": "<string>",
  "executed_at": "<string>",
  "metadata": {
    "purpose": "<string>",
    "objectives": [
      "<string>"
    ],
    "llm_call_context": {
      "greeting": "<string>",
      "objectives": [
        {
          "text": "<string>",
          "priority": 123
        }
      ],
      "decision_branches": [
        {
          "scenario": "<string>",
          "action": "<string>",
          "capture": [
            "<string>"
          ]
        }
      ],
      "objective_summary": "<string>"
    }
  },
  "prerequisite_action_ids": [
    "<string>"
  ],
  "prerequisites_check": {
    "satisfied": true,
    "missing_forms": [
      "<string>"
    ],
    "missing_deliveries": [
      "<string>"
    ],
    "missing_confirmations": [
      "<string>"
    ],
    "missing_actions": [
      "<string>"
    ]
  },
  "result": {},
  "retry_count": 123,
  "scheduled_for": "<string>",
  "sequence_order": 123,
  "status": "pending_prereqs",
  "supported": true,
  "target_denial_ids": [
    "<string>"
  ],
  "target_denials": [
    {
      "id": "<string>",
      "procedure_code": "<string>",
      "procedure_description": "<string>"
    }
  ],
  "target_entity_matched": true,
  "target_name": "<string>",
  "target_party": "insurer",
  "unsupported_reasons": [
    "<string>"
  ],
  "updated_at": "<string>"
}

Path Parameters

id
string
required

Body

application/x-www-form-urlencoded
auto_execute
string

Response

OK

id
string
required
action_communications
object[]
required
action_type
enum<string>
required
Available options:
call,
fax,
email,
file_appeal,
request_info,
sign_form,
wait,
request_external_review,
confirm_form_on_file,
renew_authorization,
deliver_form
approved_at
string
required
call_context
object
required
completed_at
string | null
required
created_at
string
required
error_message
string | null
required
executed_at
string | null
required
metadata
object
required
prerequisite_action_ids
string[]
required
prerequisites_check
object
required
result
object
required
retry_count
integer
required
scheduled_for
string | null
required
sequence_order
integer
required
status
enum<string>
required
Available options:
pending_prereqs,
ready,
pending_approval,
pending_confirmation,
approved,
executing,
completed,
failed,
cancelled
supported
boolean
required
target_denial_ids
string[]
required
target_denials
object[]
required
target_entity_matched
boolean
required
target_name
string
required
target_party
enum<string>
required
Available options:
insurer,
provider,
patient,
pharmacy,
other
unsupported_reasons
string[]
required
updated_at
string
required