PreEncounterCoveragesV1

Creates a new Coverage. A Coverage provides the high-level identifiers and descriptors of a specific insurance plan for a specific individual - typically the information you can find on an insurance card. Additionally a coverage will include detailed benefits information covered by the specific plan for the individual.

post/coverages/v1

Request

  • Base URL: https://api.taigabilling.com
  • URL: https://api.taigabilling.com/coverages/v1
  • Auth: HTTP bearer

Request body

status'ACTIVE' | 'CANCELLED' | 'DRAFT' | 'ENTERED_IN_ERROR' required

enum to represent the statuses defined at https://build.fhir.org/valueset-fm-status.html

relationship'SELF' | 'SPOUSE' | 'CHILD' | 'COMMON_LAW_SPOUSE' | 'OTHER' required
patientstring required

The unique identifier for a Patient

verifiedboolean required

A boolean indicating if the coverage has been verified by a user.

orconboolean nullable

ORCON (Originator Controlled) - When set to true, the Taiga system will hide this coverage from downstream integrations. Updates made in the Taiga UI will unset this flag. Defaults to false.

auto_update_enabledboolean nullable

Default to true. When set to true, the Taiga system will automatically update this coverage with the latest eligibility check benefits information. Auto update behavior is also set at the eligibilityConfig org level configuration.

previous_appointment_copaysobject nullable

A map of UniversalServiceIdentifier (MD_Visit, Treatment, Tests, Activity) to copay values in cents. This is used to track copay values for each service type to handle OOP max resets correctly.

Response

idstring uuid required

The unique identifier for a Coverage in the database

organization_idstring required

The unique identifier for an Organization in the database

deactivatedboolean required

True if the object is deactivated. Deactivated objects are not returned in search results but are returned in all other endpoints including scan.

versioninteger required

The version of the object. Any update to any property of an object object will create a new version.

updated_atstring date-time required
updating_user_idstring required

The unique identifier for a User in the database

status'ACTIVE' | 'CANCELLED' | 'DRAFT' | 'ENTERED_IN_ERROR' required

enum to represent the statuses defined at https://build.fhir.org/valueset-fm-status.html

relationship'SELF' | 'SPOUSE' | 'CHILD' | 'COMMON_LAW_SPOUSE' | 'OTHER' required
patientstring required

The unique identifier for a Patient

verifiedboolean required

A boolean indicating if the coverage has been verified by a user.

orconboolean nullable

ORCON (Originator Controlled) - When set to true, the Taiga system will hide this coverage from downstream integrations. Updates made in the Taiga UI will unset this flag. Defaults to false.

auto_update_enabledboolean nullable

Default to true. When set to true, the Taiga system will automatically update this coverage with the latest eligibility check benefits information. Auto update behavior is also set at the eligibilityConfig org level configuration.

previous_appointment_copaysobject nullable

A map of UniversalServiceIdentifier (MD_Visit, Treatment, Tests, Activity) to copay values in cents. This is used to track copay values for each service type to handle OOP max resets correctly.

Changes

No recorded changes to this operation across all 1 revision of this API.