Forta Health Payor API
The payor API from Forta Health — 6 operation(s) for payor.
Operations 9
Documentation
Authentication
https://artifacts.apis.io/forta-health/authentication/forta-health-authentication.yml
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OpenAPI Specification
openapi: 3.2.0
info:
title: Fast Payor API
version: 0.1.0
tags:
- name: payor
paths:
/api/v1/payors/:
get:
tags:
- payor
summary: Get Payors
operationId: get_payors_api_v1_payors__get
responses:
'200':
description: Successful Response
content:
application/json:
schema:
items:
$ref: '#/components/schemas/PayorListResponse'
type: array
title: Response Get Payors Api V1 Payors Get
security:
- HTTPBearer: []
post:
tags:
- payor
summary: Create Payor
operationId: create_payor_api_v1_payors__post
requestBody:
content:
application/json:
schema:
$ref: '#/components/schemas/PayorCreate'
required: true
responses:
'201':
description: Successful Response
content:
application/json:
schema:
$ref: '#/components/schemas/PayorDetailedResponse'
'422':
description: Validation Error
content:
application/json:
schema:
$ref: '#/components/schemas/HTTPValidationError'
security:
- HTTPBearer: []
/api/v1/payors/{payor_id}:
get:
tags:
- payor
summary: Get Payor
operationId: get_payor_api_v1_payors__payor_id__get
security:
- HTTPBearer: []
parameters:
- name: payor_id
in: path
required: true
schema:
type: integer
title: Payor Id
responses:
'200':
description: Successful Response
content:
application/json:
schema:
$ref: '#/components/schemas/PayorDetailedResponse'
'422':
description: Validation Error
content:
application/json:
schema:
$ref: '#/components/schemas/HTTPValidationError'
put:
tags:
- payor
summary: Update Payor
operationId: update_payor_api_v1_payors__payor_id__put
security:
- HTTPBearer: []
parameters:
- name: payor_id
in: path
required: true
schema:
type: integer
title: Payor Id
requestBody:
required: true
content:
application/json:
schema:
$ref: '#/components/schemas/PayorPatch'
responses:
'200':
description: Successful Response
content:
application/json:
schema:
$ref: '#/components/schemas/PayorDetailedResponse'
'422':
description: Validation Error
content:
application/json:
schema:
$ref: '#/components/schemas/HTTPValidationError'
/api/v1/payors/{payor_id}/contracts/:
post:
tags:
- payor
summary: Create Payor Contract
operationId: create_payor_contract_api_v1_payors__payor_id__contracts__post
security:
- HTTPBearer: []
parameters:
- name: payor_id
in: path
required: true
schema:
type: integer
title: Payor Id
requestBody:
required: true
content:
application/json:
schema:
$ref: '#/components/schemas/PayorContractCreate'
responses:
'201':
description: Successful Response
content:
application/json:
schema:
$ref: '#/components/schemas/PayorContractResponse'
'422':
description: Validation Error
content:
application/json:
schema:
$ref: '#/components/schemas/HTTPValidationError'
/api/v1/payors/{payor_id}/contracts/{contract_id}:
patch:
tags:
- payor
summary: Update Payor Contract
operationId: update_payor_contract_api_v1_payors__payor_id__contracts__contract_id__patch
security:
- HTTPBearer: []
parameters:
- name: payor_id
in: path
required: true
schema:
type: integer
title: Payor Id
- name: contract_id
in: path
required: true
schema:
type: integer
title: Contract Id
requestBody:
required: true
content:
application/json:
schema:
$ref: '#/components/schemas/PayorContractPatch'
responses:
'200':
description: Successful Response
content:
application/json:
schema:
$ref: '#/components/schemas/PayorContractResponse'
'422':
description: Validation Error
content:
application/json:
schema:
$ref: '#/components/schemas/HTTPValidationError'
delete:
tags:
- payor
summary: Delete Payor Contract
operationId: delete_payor_contract_api_v1_payors__payor_id__contracts__contract_id__delete
security:
- HTTPBearer: []
parameters:
- name: payor_id
in: path
required: true
schema:
type: integer
title: Payor Id
- name: contract_id
in: path
required: true
schema:
type: integer
title: Contract Id
responses:
'200':
description: Successful Response
content:
application/json:
schema: {}
'422':
description: Validation Error
content:
application/json:
schema:
$ref: '#/components/schemas/HTTPValidationError'
/api/v1/payors/{payor_id}/service_code_descriptions/:
post:
tags:
- payor
summary: Create Service Code Description
operationId: create_service_code_description_api_v1_payors__payor_id__service_code_descriptions__post
security:
- HTTPBearer: []
parameters:
- name: payor_id
in: path
required: true
schema:
type: integer
title: Payor Id
requestBody:
required: true
content:
application/json:
schema:
$ref: '#/components/schemas/PayorServiceCodeDescriptionCreate'
responses:
'201':
description: Successful Response
content:
application/json:
schema:
$ref: '#/components/schemas/PayorServiceCodeDescriptionResponse'
'422':
description: Validation Error
content:
application/json:
schema:
$ref: '#/components/schemas/HTTPValidationError'
/api/v1/payors/{payor_id}/service_code_descriptions/{service_code_description_id}/:
patch:
tags:
- payor
summary: Update Service Code Description
operationId: update_service_code_description_api_v1_payors__payor_id__service_code_descriptions__service_code_description_id___patch
security:
- HTTPBearer: []
parameters:
- name: payor_id
in: path
required: true
schema:
type: integer
title: Payor Id
- name: service_code_description_id
in: path
required: true
schema:
type: integer
title: Service Code Description Id
requestBody:
required: true
content:
application/json:
schema:
$ref: '#/components/schemas/PayorServiceCodeDescriptionPatch'
responses:
'200':
description: Successful Response
content:
application/json:
schema:
$ref: '#/components/schemas/PayorServiceCodeDescriptionResponse'
'422':
description: Validation Error
content:
application/json:
schema:
$ref: '#/components/schemas/HTTPValidationError'
components:
schemas:
ClientSupervisionRequirements-Output:
properties:
is_required:
type: boolean
title: Is Required
criteria:
anyOf:
- $ref: '#/components/schemas/ClientSupervisionCriteria'
- type: 'null'
type: object
required:
- is_required
title: ClientSupervisionRequirements
ClientSupervisionCriteria:
properties:
minimum_percentage:
anyOf:
- type: number
- type: 'null'
title: Minimum Percentage
minimum_hours:
anyOf:
- type: integer
- type: 'null'
title: Minimum Hours
operator:
anyOf:
- $ref: '#/components/schemas/OperatorEnum'
- type: 'null'
default: OR
type: object
title: ClientSupervisionCriteria
PayorListResponse:
properties:
id:
type: integer
title: Id
label:
type: string
title: Label
state:
type: string
title: State
clearinghouse_payor_id:
anyOf:
- type: string
- type: 'null'
title: Clearinghouse Payor Id
type:
anyOf:
- $ref: '#/components/schemas/PayorTypeEnum'
- type: 'null'
modifier:
anyOf:
- type: string
- type: 'null'
title: Modifier
preferred_service_code_type:
anyOf:
- $ref: '#/components/schemas/ServiceCodeTypeEnum'
- type: 'null'
evv_enabled:
type: boolean
title: Evv Enabled
default: false
taxonomy_code:
anyOf:
- type: string
- type: 'null'
title: Taxonomy Code
type: object
required:
- id
- label
- state
title: PayorListResponse
PayorCreate:
properties:
label:
type: string
title: Label
state:
type: string
title: State
clearinghouse_payor_id:
type: string
title: Clearinghouse Payor Id
type:
$ref: '#/components/schemas/PayorTypeEnum'
modifier:
anyOf:
- type: string
maxLength: 2
minLength: 2
- type: 'null'
title: Modifier
preferred_service_code_type:
$ref: '#/components/schemas/ServiceCodeTypeEnum'
is_using_taxonomy_code:
type: boolean
title: Is Using Taxonomy Code
sector:
$ref: '#/components/schemas/PayorSectorEnum'
internal_classification:
anyOf:
- type: string
maxLength: 50
minLength: 1
- type: 'null'
title: Internal Classification
forta_website_payor_name:
anyOf:
- type: string
maxLength: 50
minLength: 1
- type: 'null'
title: Forta Website Payor Name
changehealthcare_eligibility_payor_id:
anyOf:
- type: string
maxLength: 50
minLength: 1
- type: 'null'
title: Changehealthcare Eligibility Payor Id
max_client_age:
anyOf:
- type: integer
- type: 'null'
title: Max Client Age
is_pbt_allowed:
anyOf:
- type: boolean
- type: 'null'
title: Is Pbt Allowed
is_telehealth_allowed:
anyOf:
- type: boolean
- type: 'null'
title: Is Telehealth Allowed
evv_enabled:
type: boolean
title: Evv Enabled
default: false
bt_type:
anyOf:
- $ref: '#/components/schemas/BTTypeEnum'
- type: 'null'
client_supervision_requirements:
$ref: '#/components/schemas/ClientSupervisionRequirements-Input'
type: object
required:
- label
- state
- clearinghouse_payor_id
- type
- preferred_service_code_type
- is_using_taxonomy_code
- sector
- client_supervision_requirements
title: PayorCreate
PayorContractResponse:
properties:
date_start:
type: string
format: date
title: Date Start
date_end:
anyOf:
- type: string
format: date
- type: 'null'
title: Date End
rate_per_unit:
type: number
title: Rate Per Unit
service_code_id:
type: integer
title: Service Code Id
id:
type: integer
title: Id
type: object
required:
- date_start
- rate_per_unit
- service_code_id
- id
title: PayorContractResponse
PayorTypeEnum:
type: string
enum:
- Medicare Part A
- Medicare Part B
- Medicaid
- Tricare
- ChampVa
- Group Health Plan
- FECA Blk Lung
- Other
title: PayorTypeEnum
description: Enum for payor types.
PayorServiceCodeDescriptionPatch:
properties:
description:
type: string
minLength: 2
title: Description
type: object
required:
- description
title: PayorServiceCodeDescriptionPatch
PayorDetailedResponse:
properties:
label:
type: string
title: Label
state:
type: string
title: State
clearinghouse_payor_id:
anyOf:
- type: string
- type: 'null'
title: Clearinghouse Payor Id
type:
anyOf:
- $ref: '#/components/schemas/PayorTypeEnum'
- type: 'null'
modifier:
anyOf:
- type: string
maxLength: 2
minLength: 2
- type: 'null'
title: Modifier
preferred_service_code_type:
anyOf:
- $ref: '#/components/schemas/ServiceCodeTypeEnum'
- type: 'null'
is_using_taxonomy_code:
anyOf:
- type: boolean
- type: 'null'
title: Is Using Taxonomy Code
sector:
anyOf:
- $ref: '#/components/schemas/PayorSectorEnum'
- type: 'null'
internal_classification:
anyOf:
- type: string
- type: 'null'
title: Internal Classification
forta_website_payor_name:
anyOf:
- type: string
- type: 'null'
title: Forta Website Payor Name
changehealthcare_eligibility_payor_id:
anyOf:
- type: string
- type: 'null'
title: Changehealthcare Eligibility Payor Id
max_client_age:
anyOf:
- type: integer
- type: 'null'
title: Max Client Age
is_pbt_allowed:
anyOf:
- type: boolean
- type: 'null'
title: Is Pbt Allowed
is_telehealth_allowed:
anyOf:
- type: boolean
- type: 'null'
title: Is Telehealth Allowed
evv_enabled:
type: boolean
title: Evv Enabled
default: false
bt_type:
anyOf:
- $ref: '#/components/schemas/BTTypeEnum'
- type: 'null'
client_supervision_requirements:
anyOf:
- $ref: '#/components/schemas/ClientSupervisionRequirements-Output'
- type: 'null'
id:
type: integer
title: Id
taxonomy_code:
anyOf:
- type: string
- type: 'null'
title: Taxonomy Code
contracts:
items:
$ref: '#/components/schemas/PayorContractResponse'
type: array
title: Contracts
service_code_descriptions:
items:
anyOf:
- $ref: '#/components/schemas/PayorServiceCodeDescriptionResponse'
- $ref: '#/components/schemas/PayorServiceCodeDefaultDescriptionResponse'
type: array
title: Service Code Descriptions
type: object
required:
- label
- state
- id
- contracts
- service_code_descriptions
title: PayorDetailedResponse
PayorServiceCodeDescriptionCreate:
properties:
description:
type: string
minLength: 2
title: Description
service_code_id:
type: integer
title: Service Code Id
type: object
required:
- description
- service_code_id
title: PayorServiceCodeDescriptionCreate
ValidationError:
properties:
loc:
items:
anyOf:
- type: string
- type: integer
type: array
title: Location
msg:
type: string
title: Message
type:
type: string
title: Error Type
type: object
required:
- loc
- msg
- type
title: ValidationError
PayorServiceCodeDefaultDescriptionResponse:
properties:
description:
type: string
minLength: 2
title: Description
service_code_id:
anyOf:
- type: integer
- type: 'null'
title: Service Code Id
id:
anyOf:
- type: integer
- type: 'null'
title: Id
payor_id:
type: integer
title: Payor Id
service_code:
anyOf:
- $ref: '#/components/schemas/ServiceCodeEnum'
- type: string
title: Service Code
type: object
required:
- description
- payor_id
- service_code
title: PayorServiceCodeDefaultDescriptionResponse
HTTPValidationError:
properties:
detail:
items:
$ref: '#/components/schemas/ValidationError'
type: array
title: Detail
type: object
title: HTTPValidationError
ServiceCodeEnum:
type: string
enum:
- '97151'
- '97152'
- '97153'
- '97155'
- '97156'
- '97157'
- '99366'
title: ServiceCodeEnum
ServiceCodeTypeEnum:
type: string
enum:
- CPT
- HCPCS
title: ServiceCodeTypeEnum
PayorServiceCodeDescriptionResponse:
properties:
description:
type: string
minLength: 2
title: Description
service_code_id:
type: integer
title: Service Code Id
id:
type: integer
title: Id
payor_id:
type: integer
title: Payor Id
service_code:
anyOf:
- $ref: '#/components/schemas/ServiceCodeEnum'
- type: string
title: Service Code
type: object
required:
- description
- service_code_id
- id
- payor_id
- service_code
title: PayorServiceCodeDescriptionResponse
ClientSupervisionRequirements-Input:
properties:
is_required:
type: boolean
title: Is Required
criteria:
anyOf:
- $ref: '#/components/schemas/ClientSupervisionCriteria'
- type: 'null'
type: object
required:
- is_required
title: ClientSupervisionRequirements
OperatorEnum:
type: string
enum:
- AND
- OR
title: OperatorEnum
PayorContractPatch:
properties:
date_start:
type: string
format: date
title: Date Start
date_end:
anyOf:
- type: string
format: date
- type: 'null'
title: Date End
rate_per_unit:
type: number
title: Rate Per Unit
type: object
required:
- date_start
- rate_per_unit
title: PayorContractPatch
PayorPatch:
properties:
label:
type: string
title: Label
state:
type: string
title: State
clearinghouse_payor_id:
type: string
title: Clearinghouse Payor Id
type:
$ref: '#/components/schemas/PayorTypeEnum'
modifier:
anyOf:
- type: string
maxLength: 2
minLength: 2
- type: 'null'
title: Modifier
preferred_service_code_type:
$ref: '#/components/schemas/ServiceCodeTypeEnum'
is_using_taxonomy_code:
type: boolean
title: Is Using Taxonomy Code
sector:
$ref: '#/components/schemas/PayorSectorEnum'
internal_classification:
anyOf:
- type: string
maxLength: 50
minLength: 1
- type: 'null'
title: Internal Classification
forta_website_payor_name:
anyOf:
- type: string
maxLength: 50
minLength: 1
- type: 'null'
title: Forta Website Payor Name
changehealthcare_eligibility_payor_id:
anyOf:
- type: string
maxLength: 50
minLength: 1
- type: 'null'
title: Changehealthcare Eligibility Payor Id
max_client_age:
anyOf:
- type: integer
- type: 'null'
title: Max Client Age
is_pbt_allowed:
anyOf:
- type: boolean
- type: 'null'
title: Is Pbt Allowed
is_telehealth_allowed:
anyOf:
- type: boolean
- type: 'null'
title: Is Telehealth Allowed
evv_enabled:
type: boolean
title: Evv Enabled
default: false
bt_type:
anyOf:
- $ref: '#/components/schemas/BTTypeEnum'
- type: 'null'
client_supervision_requirements:
$ref: '#/components/schemas/ClientSupervisionRequirements-Input'
type: object
required:
- label
- state
- clearinghouse_payor_id
- type
- preferred_service_code_type
- is_using_taxonomy_code
- sector
- client_supervision_requirements
title: PayorPatch
PayorContractCreate:
properties:
date_start:
type: string
format: date
title: Date Start
date_end:
anyOf:
- type: string
format: date
- type: 'null'
title: Date End
rate_per_unit:
type: number
title: Rate Per Unit
service_code_id:
type: integer
title: Service Code Id
type: object
required:
- date_start
- rate_per_unit
- service_code_id
title: PayorContractCreate
PayorSectorEnum:
type: string
enum:
- Commercial
- Medicaid
- MCO
- Government Plan
title: PayorSectorEnum
description: Enum for payor sectors.
BTTypeEnum:
type: string
enum:
- BT
- RBT
- RLT
- CBT
title: BTTypeEnum
securitySchemes:
HTTPBearer:
type: http
scheme: bearer
x-provenance:
method: harvested
publisher: Forta Health
source: https://api.prod.fortahealth.com/openapi.json
note: split by refine-openapis from the provider's own published document, verified by fetch (openapi/_original/*.fetch.json);
stamped by stamp-openapi-provenance.py (roadmap#793)