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PATCH
/
api
/
v1
/
overturnable_denials
/
{id}
/
update_context
Error
A valid request URL is required to generate request examples
{
  "id": "<string>",
  "action_plan_generating": true,
  "ai_reasoning": "<string>",
  "appeal_deadline": "<string>",
  "assessment_count": 123,
  "callback_promises": [
    {}
  ],
  "claim_denial_count": 123,
  "claim_id": "<string>",
  "claim_insurer_name": "<string>",
  "claim_patient_name": "<string>",
  "claim_provider_name": "<string>",
  "claim_total_denied": 123,
  "confidence_score": 123,
  "deadline_confidence": 123,
  "deadline_info": {
    "urgency_level": "normal",
    "urgency_label": "<string>",
    "urgency_multiplier": 123,
    "deadline": "<string>",
    "days_remaining": 123,
    "deadline_passed": true,
    "deadline_imminent": true,
    "deadline_critical": true,
    "deadline_source": "<string>",
    "deadline_confidence": 123
  },
  "deadline_source": "<string>",
  "denial_code": "<string>",
  "denial_reason": "<string>",
  "denial_type": "medical_necessity",
  "denial_type_label": "<string>",
  "denied_amount": 123,
  "detected_at": "<string>",
  "formatted_reference_code": "<string>",
  "gap_analysis": "<string>",
  "insurance_summary": {
    "member_id": "<string>",
    "group_number": "<string>",
    "plan_name": "<string>",
    "plan_type": "<string>",
    "insurer_name": "<string>",
    "appeals_phone": "<string>"
  },
  "last_assessed_at": "<string>",
  "needs_reassessment": true,
  "organization_name": "<string>",
  "policy_citations": [
    {}
  ],
  "policy_document": "<string>",
  "policy_document_id": "<string>",
  "procedure_code": "<string>",
  "procedure_description": "<string>",
  "provider_npi": "<string>",
  "reason_code": "<string>",
  "reason_code_appealable": true,
  "reason_code_category": "<string>",
  "reason_code_description": "<string>",
  "recommended_strategies": [
    "<string>"
  ],
  "recommended_strategy": "<string>",
  "reference_code": "<string>",
  "reviewed_at": "<string>",
  "service_code": "<string>",
  "service_code_category": "<string>",
  "service_code_description": "<string>",
  "service_date": "<string>",
  "sibling_denial_ids": [
    "<string>"
  ],
  "source_document": {
    "id": "<string>",
    "amount": "<string>",
    "analysis_status": "<string>",
    "appeal_deadline": "<string>",
    "created_at": "<string>",
    "days_until_deadline": 123,
    "denial_reason": "<string>",
    "document_type": "<string>",
    "document_type_display": "<string>",
    "insurance_profile_id": "<string>",
    "is_manual_upload": true,
    "last_analyzed_at": "<string>",
    "provider_name": "<string>",
    "scan_status": "<string>",
    "service_date": "<string>",
    "status": "new",
    "title": "<string>",
    "within_appeal_window": true
  },
  "source_document_id": "<string>",
  "status": "new",
  "summary_title": "<string>",
  "supporting_documents": [
    {}
  ]
}

Path Parameters

id
string
required

Body

application/x-www-form-urlencoded
patient_dob
string
member_id
string
group_number
string

Response

OK

id
string
required
action_plan_generating
boolean
required
ai_reasoning
string
required
appeal_deadline
string | null
required
assessment_count
integer
required
callback_promises
object[]
required
claim_denial_count
integer
required
claim_id
string | null
required
claim_insurer_name
string | null
required
claim_patient_name
string | null
required
claim_provider_name
string | null
required
claim_total_denied
number<float>
required
confidence_score
integer
required
deadline_confidence
integer | null
required
deadline_info
object
required
deadline_source
string | null
required
denial_code
string
required
denial_reason
string | null
required
denial_type
enum<string> | null
required
Available options:
medical_necessity,
prior_authorization,
coding_error,
timely_filing,
out_of_network,
coverage_exclusion,
coordination_of_benefits,
patient_responsibility,
duplicate,
other
denial_type_label
string
required
denied_amount
number<float>
required
detected_at
string
required
formatted_reference_code
string
required
gap_analysis
string | null
required
insurance_summary
object
required
last_assessed_at
string | null
required
needs_reassessment
boolean
required
organization_name
string | null
required
policy_citations
object[]
required
policy_document
string | null
required
policy_document_id
string | null
required
procedure_code
string
required
procedure_description
string
required
provider_npi
string | null
required
reason_code
string | null
required
reason_code_appealable
boolean
required
reason_code_category
string | null
required
reason_code_description
string | null
required
reference_code
string
required
reviewed_at
string | null
required
service_code
string | null
required
service_code_category
string | null
required
service_code_description
string
required
service_date
string | null
required
sibling_denial_ids
string[]
required
source_document
object
required
source_document_id
string
required
status
enum<string>
required
Available options:
new,
reviewed,
dismissed
summary_title
string | null
required
supporting_documents
object[]
required