Endpoint pages

Validates or registers an external document reference for an organization-scoped ADR.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates a local, claim-linked ADR request after verifying that the claim belongs to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one ADR request when the ADR identifier resolves inside the organization selected by the bearer API key.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns ADR requests owned by the authenticated API key organization, with filters for status, ADR type, claim, assignee, overdue state, requestor entity, submission method, received date, response deadline, and search text.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Marks an organization-scoped ADR response as submitted and stores the local submission method and optional tracking identifier.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Records an approved or denied outcome for an organization-scoped ADR that is already in ADR_SUBMITTED status.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates an organization-scoped ADR and returns a simulated document assembly plan comparing requested document types with existing document references.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Archives an organization-owned Agent Builder definition through the DELETE endpoint and returns safe definition metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Requests cancellation for an organization-owned Agent Builder execution and returns safe execution metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Clones an organization-owned Agent Builder definition into a new draft definition and returns safe metadata for the clone.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a new Agent Builder definition as an organization-scoped database-only write and returns safe definition metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates an organization-scoped Agent Builder execution wrapper record with dry-run and queue-only safety controls.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Creates an organization-scoped schedule under a non-archived Agent Builder definition.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Deletes an organization-scoped Agent Builder schedule and returns a deletion confirmation.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Retrieves safe metadata for one Agent Builder definition in the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Retrieves a detailed, organization-scoped Agent Builder execution record with scrubbed output data and execution metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Retrieves the current organization-scoped execution detail payload for result inspection.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Retrieves the current organization-scoped execution detail payload for status polling.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Retrieves safe metadata for one organization-scoped Agent Builder schedule.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Installs a built-in or organization-published template as a new draft Agent Builder definition.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns paginated, organization-scoped metadata for Agent Builder definitions, filtered by lifecycle status, RCM category, application type, or search text.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns paginated, organization-scoped execution metadata for Agent Builder polling and monitoring workflows.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns paginated, organization-scoped schedule metadata for Agent Builder schedules.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Lists built-in and organization-published Agent Builder templates with safe template metadata and pagination.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns paginated safe metadata for automation credentials that can be referenced by Agent Builder definitions, schedules, template installs, or executions.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Sets an organization-owned Agent Builder schedule inactive and returns safe schedule metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Publishes an organization-owned Agent Builder definition as an organization template and returns safe definition metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Sets an organization-owned Agent Builder schedule active and returns safe schedule metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a new safe retry execution record for an organization-owned Agent Builder execution using dry-run and queue-only controls.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Generates a new webhook secret for an organization-owned Agent Builder schedule and returns it once.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates an existing organization-owned Agent Builder definition after an organization-scoped lookup and returns safe metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates an organization-owned Agent Builder schedule and returns safe schedule metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Acknowledges an organization-scoped appeal reminder.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Adds a required supporting document placeholder to an appeal.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Cancels a peer-to-peer review with a required reason.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Compiles an appeal packet workflow and records storage state without returning storage keys.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a first-level appeal for an existing organization-owned denial case.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a short-lived presigned download URL for a linked appeal document file.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates a presigned upload URL and local file record for an appeal supporting document.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates or updates an organization-scoped appeal compliance rule using payer type, jurisdiction state, and appeal level.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Deletes an organization-scoped appeal supporting document row.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Copies a system appeal template into the authenticated organization for customization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates or returns the next-level appeal when the current appeal is eligible for escalation.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Generates required supporting document checklist rows for an appeal.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Returns one organization-owned appeal and can include a sanitized timeline and escalation chain.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns a read-only appeal analytics report for a selected report type.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Returns appeal calendar event data for deadlines and peer-to-peer reviews within a date range.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns summary appeal compliance metrics and recent events for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns one appeal compliance event owned by the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns payer-focused appeal compliance report data for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns the best system appeal template for a payer, falling back to the generic commercial template.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns active appeals whose deadlines are already past due for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns one organization-scoped peer-to-peer review.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns upcoming and overdue active appeal deadline data for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Links an organization-owned file record to an appeal supporting document.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Lists appeal compliance events for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists appeal compliance rules available to the authenticated organization, including organization-specific and global rules.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists supporting document rows for an organization-owned appeal.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Returns appeal summaries owned by the authenticated organization, with filters for pagination, workflow status, appeal level, denial case, claim, outcome, submission method, payer identity/name, deadline range, created range, updated range, and submitted range.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Lists peer-to-peer review records for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists global payer-specific appeal templates available to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Records the payer or review outcome for an appeal and optionally captures recovered amount and notes.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Records status and outcome details for an existing peer-to-peer review.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Reschedules a peer-to-peer review with a required reason.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Marks an appeal compliance event as resolved.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Runs local appeal compliance checks and creates compliance event rows for detected issues.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Schedules a peer-to-peer review for an organization-owned appeal.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Sets or extends the deadline for an organization-owned appeal.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Submits or validates a local appeal workflow using the selected submission method.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates an organization-scoped appeal compliance rule by rule id.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Reviews, approves, or rejects an appeal supporting document.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Updates an appeal's workflow status through the module state machine.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Withdraws an active organization-owned appeal with a required reason.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Advances a patient AR account collection stage and creates a local collection task.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Assigns multiple AR work queue items to a tenant user after checking membership and item ownership.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local AR appeal tracking record from an organization-scoped denial or recovery context.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Records a payer, patient, agency, or internal AR follow-up and updates linked work queue touch metadata.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local Accounts Receivable work queue for organizing payer follow-up, patient balance, denial, collection, or appeal work.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local AR work queue item after verifying queue, claim, and assignee ownership.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local patient Accounts Receivable payment plan after account ownership and active-plan checks.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Generates and stores local AR correspondence metadata and content without external delivery.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Lists Accounts Receivable work items for the authenticated organization with optional queue, status, priority, and pagination filters.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists non-deleted Accounts Receivable work queues owned by the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Records a queued or simulated send status for local AR correspondence without making a live external delivery call.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues a patient financial-assistance review using a PHI-safe local audit record without directly applying discounts.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Records response metadata for organization-scoped AR correspondence.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates an organization-scoped AR appeal tracking record.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates local configuration for an organization-scoped Accounts Receivable work queue.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates the status of a local AR work queue item and writes an AR audit entry.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Adds a human-reviewed code to an editable Billing encounter.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Links existing organization-owned files to a Billing encounter and queues file processing.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates an INGESTED hospital billing encounter for the authenticated organization without running inline AI processing.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Soft-deactivates an organization-owned CDM entry and records a CDM audit row.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Deletes a code from an editable Billing encounter and records a suppression so reprocessing does not restore it.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Moves a HUMAN_REVIEW Billing encounter to FINALIZED and optionally queues claim generation.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one organization-owned Charge Description Master entry by CDM ID.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns detailed billing status and coding outputs for one encounter in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists Charge Description Master entries for the authenticated organization with search and filter controls.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Lists billing encounters in the authenticated organization with bounded pagination and optional status, encounter type, external encounter ID, and patient filters.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists physician queries for one Billing encounter in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Queues a Billing encounter batch import for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Queues a CDM rate import for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Queues Billing encounter reprocessing for an editable, organization-scoped encounter.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Queues bulk finalization for multiple HUMAN_REVIEW Billing encounters in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Records a response to a PENDING or SENT Billing physician query through an organization-scoped parent encounter relation.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Reopens a FINALIZED Billing encounter by moving it back to HUMAN_REVIEW.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates fields on an organization-owned CDM entry and records audit rows for changed fields.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates safe claim-form and encounter-reference fields on an editable Billing encounter.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates an existing code on an editable Billing encounter and marks it human-reviewed.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates Present On Admission indicator data for a Billing encounter.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Queues a safe local claim-status check task for an organization-scoped claim.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Creates a presigned upload target for a claim attachment file after verifying claim ownership.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates a local professional, institutional, or dental claim draft for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns a single organization-owned claim with line-level and status-check summary context.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns claim records owned by the authenticated organization and lets integrators filter by workflow status, claim type, patient, payer, facility, and service date.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Stores claim attachment metadata tied to a claim and claim-status context, including payer, patient, subscriber, provider, encounter, and document details.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues a safe local claim submission task for a professional, institutional, or dental claim.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues a safe local attachment-submission task for a file associated with an organization-scoped claim.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues a safe local predetermination workflow for professional or institutional claim-like data.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates an existing local claim draft after QuickRCM verifies that the claim belongs to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Runs a local pre-contact collections compliance check for the authenticated organization using supplied patient/contact context, active rules, and optional placement enrichment.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates one or more local bad debt placement records after validating that the target agency is active in the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local collection agency record inside the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local collections compliance rule inside the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Soft-deactivates a collections compliance rule by marking it inactive after an organization-scoped lookup.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one bad debt placement when `placementId` belongs to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns one collection agency when `agencyId` resolves inside the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns one collections compliance rule when `ruleId` belongs to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Lists bad debt placement records owned by the authenticated organization, with optional status, agency, patient, and skip/take filters.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Lists collection agency records owned by the organization selected by the bearer API key, with optional agency status and skip/take pagination.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Lists collections compliance rules owned by the authenticated organization, optionally filtered by active state and rule type.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Marks an organization-owned bad debt placement as recalled in local QuickRCM collections tracking when its current status is recallable.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Records a positive local recovery amount against an organization-owned bad debt placement that is in a recoverable agency-work status.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Appends a local dispute note to an organization-owned bad debt placement.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Appends a local dispute resolution note to an organization-owned placement and can replace the local total balance with a verified amount.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates editable fields on an organization-owned collection agency.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Replaces the editable body-backed fields on a collections compliance rule after an organization-scoped rule lookup.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates or queues local debt validation notice evidence for an organization-owned placement without external delivery.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Assigns one organization-owned underpayment case to an active member of the authenticated organization and records local activity/audit evidence.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates an organization-scoped insurance contract after validating the body and verifying the referenced payer configuration and optional facility are owned by the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local what-if rate simulation draft for an organization-owned payer configuration.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Runs an organization-scoped local scan of paid claims for potential underpayment cases, using `dryRun` by default.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one organization-owned insurance contract with its active rate schedules.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Lists insurance contract summaries owned by the authenticated organization with optional filters for payer configuration, facility, active status, and base reimbursement type.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Records a local dispute-letter request and audit activity for one organization-owned underpayment case.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Closes one organization-owned underpayment case with a recovery, write-off, or no-recovery resolution and records local activity/audit evidence.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates editable fields on one organization-owned insurance contract and records local audit evidence.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates fee schedule rows by default, or imports local fee schedule and rate rows when `validateOnly` is false.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Attempts to generate local secondary-claim records for 1 to 50 supplied opportunities and returns aggregate counts plus per-primary-claim success or error outcomes.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns the current local secondary-claim status for an organization-owned secondary claim that is already submitted or acknowledged.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates or updates the local payer-order record for one organization-owned patient, including primary, secondary, optional tertiary insurance identifiers and the determination method.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Scans organization-scoped primary remittance data for claims that may need secondary billing and returns sanitized opportunity summaries without patient names, raw X12 835 Electronic Remittance Advice (ERA), or payer payloads.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates one local secondary-claim generation record from an organization-owned primary claim, matched remittance, and secondary payer identifier after building and validating the internal secondary claim payload.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns one organization-owned Coordination of Benefits (COB) secondary-claim generation record plus a public-safe summary of its primary claim when available.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Lists local Coordination of Benefits (COB) secondary-claim generation records owned by the organization selected by the bearer API key, with optional status, secondary payer, created-date, and pagination filters.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates the local secondary-claim record with a secondary paid amount and derives a local paid-or-denied status.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Initiates the public secondary-claim submission workflow for a generated local secondary claim and returns queue/submission tracking metadata without exposing the claim payload.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Voids a non-paid local secondary-claim record for the authenticated organization and records the local workflow transition.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Records whether the credentialing attestation has been accepted for an organization-scoped session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Adds an education history record to an organization-scoped Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Adds liability insurance coverage metadata to an organization-scoped Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Adds a professional license identifier record to an organization-scoped Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Adds a professional reference record to an organization-scoped Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a new local Credentialing session in DRAFT status for the organization selected by the bearer API key.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Adds a work history record to an organization-scoped Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Soft-deletes a local education history record after verifying tenant ownership through the parent Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Soft-deletes liability insurance coverage metadata after verifying tenant ownership through the parent Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Soft-deletes a local professional license record after verifying tenant ownership through the parent Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Soft-deletes a professional reference record after verifying tenant ownership through the parent Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Soft-deletes a local work history record after verifying tenant ownership through the parent Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one organization-owned Credentialing session with local document metadata when the session belongs to the API-key organization and is not soft-deleted.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Provides a deprecated compatibility callback for updating a local Credentialing session status through the public API authentication path.Compatibility-limited; not for happy-path guides. Requires versioning and compatibility-route classification before broad use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns paginated credentialing session summaries owned by the organization selected by the bearer API key, optionally filtered by credentialing session status.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Validates Credentialing application readiness and returns a safe workflow response without payer portal submission.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates ownership of a local credentialing document and returns a simulated document-processing workflow response.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Validates a credentialing document upload request for a tenant-owned session and returns a simulated queue response.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Links an existing organization-owned QuickRCM File record as the signature reference for a Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates or updates non-secret CAQH metadata for an organization-scoped Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates a local education history record after verifying it belongs to a session in the API-key organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates liability insurance coverage metadata after verifying it belongs to a session in the API-key organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates a professional license record after verifying it belongs to a session in the API-key organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates a professional reference record after verifying it belongs to a session in the API-key organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates or updates structured provider profile fields for an organization-scoped Credentialing session.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates public-safe session metadata for an organization-scoped Credentialing session, including status notes, display provider name, assignment, and selected payer configurations.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates the local status of a tenant-owned Credentialing session after validating the transition against the shared credentialing status machine.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates a local work history record after verifying it belongs to a session in the API-key organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local draft appeal for an organization-owned denial case, or returns the existing draft appeal for that case.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local Denial Management routing rule after validating that the target queue and any action references belong to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one denial case when the case identifier belongs to the organization selected by the bearer API key.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Associates an organization-owned remittance record with an organization-owned denial case by storing the remittance identifier on the case.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Lists denial cases owned by the organization selected by the bearer API key, with optional filters for local status, denial category, severity, payer, claim, patient, queue, owner user, and pagination.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns Denial Management queues and queue routing rules configured for the organization selected by the bearer API key.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Moves one organization-owned denial case to another organization-owned Denial Management queue, updates queue counters when the queue changes, and records a local reroute activity.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates the local status of one organization-owned denial case after validating the requested transition and writes a DenialActivity audit record.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates one organization-owned Denial Management routing rule after validating the rule exists and any merged action references remain organization-scoped.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates or dry-runs a denial document extraction request using metadata only; public API callers cannot trigger OCR, LLM extraction, storage writes, queueing, or payer calls through this endpoint.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates up to 100 local QuickRCM patient rows from inline JSON and returns per-row counts plus sanitized patient summaries.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local QuickRCM appointment for an organization-scoped patient and returns the sanitized appointment summary.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local QuickRCM patient in the authenticated organization using a database-only write and duplicate detection on demographics and MRN.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local patient insurance record for an organization-scoped patient after resolving or creating the tenant payer configuration.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Finds one local QuickRCM patient ID by exact trimmed first name, exact trimmed last name, and date-of-birth day within the organization selected by the bearer API key.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Lists local appointment summaries for one patient after first verifying the patient belongs to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local queued eligibility-check record for an organization-scoped appointment and patient insurance record without calling a payer or clearinghouse synchronously.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates local appointment scheduling fields after an organization-scoped appointment lookup.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates only the local appointment status after verifying the appointment belongs to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates safe local patient demographic fields after verifying the patient belongs to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates a local patient insurance record after proving both the patient and insurance row belong to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Sets the authenticated organization's local EHR integration configuration to active and returns sanitized config metadata.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates or updates the authenticated organization's local EHR integration configuration using redacted setup metadata.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates or updates a FIELD or FACILITY mapping after verifying parent resources belong to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Sets the authenticated organization's local EHR integration configuration to inactive and returns sanitized config metadata.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Deletes a FIELD or FACILITY mapping after an organization-scoped ownership lookup.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns the authenticated organization's sanitized EHR integration configuration summary, or null when no configuration exists.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Lists sanitized FIELD or FACILITY mappings for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Lists sanitized EHR sync conflicts for the authenticated organization with entityType, resolution, and pagination filters.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Lists sanitized EHR sync-log metadata for the authenticated organization with filters for log id, entity type, status, direction, date range, summaryOnly, and pagination.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues a local manual EHR sync job for one supported entity type and returns the summary sync-log id.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues an Epic Bulk FHIR import job and returns local queue metadata without making an external Epic request in the HTTP handler.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Records a local resolution state for a pending EHR sync conflict and returns sanitized conflict metadata.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates a redacted EHR connection-test request shape and credential-status metadata without calling an external EHR adapter.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Dry-run validates a full-resync request and counts organization-scoped EHR id mappings that would be affected for the configured external system and entity type.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Dry-run validates a single EHR record-sync request and reports whether a matching local EHR id mapping exists.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates and creates a safe organization-scoped bulk eligibility batch wrapper for CSV-backed or Amazon S3-backed batch input.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates an eligibility verification workflow for the authenticated organization and returns a sanitized eligibilityCheck summary.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns sanitized bulk eligibility batch progress and aggregate check status for a batch owned by the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns one sanitized eligibilityCheck summary when eligibilityCheckId belongs to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Marks an existing organization-scoped bulk eligibility batch as queued for local worker pickup, with a dry-run response option.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Requires claim-status:read scope. Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Requires claim-status:raw scope. Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Requires claim-status:read scope. Default view is canonical. For mapped reports use view=mapped; rows are at data.data.rows. processingState describes worker progress; outcome describes payer/result success. Inspect errors even on HTTP 200. retryable=false means do not blindly resubmit.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Requires claim-status:read scope. Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Requires claim-status:mappings scope. Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Requires claim-status:write scope. Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Requires claim-status:mappings scope. Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Requires claim-status:write scope. Idempotency-Key is optional. If omitted, every submission creates a fresh inquiry with a generated UUID returned as idempotencyKey. Reuse the returned or supplied key for retries of the same request. The latest published mappingProfileId version is pinned at creation.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Bulk-updates safe public fields on Explanation of Benefits (EOB) to Electronic Remittance Advice (ERA) conversion records whose IDs belong to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Classifies caller-supplied safe Electronic Remittance Advice (ERA) summary fields for one organization-owned Explanation of Benefits (EOB) to ERA conversion and optionally persists only the resulting ERA status.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates an Explanation of Benefits (EOB) upload request or creates a local EOB-to-ERA conversion record from an existing organization-owned File row.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Returns one sanitized Explanation of Benefits (EOB) to Electronic Remittance Advice (ERA) conversion record when it belongs to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists sanitized Explanation of Benefits (EOB) to Electronic Remittance Advice (ERA) conversion records owned by the organization selected by the bearer API key.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Simulates processing or records a safe local PROCESSING status transition for one organization-owned Explanation of Benefits (EOB) to Electronic Remittance Advice (ERA) conversion.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Updates safe public fields on one organization-owned Explanation of Benefits (EOB) to Electronic Remittance Advice (ERA) conversion.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Attempts to retrieve an ERA for the authenticated organization using `tradingPartnerServiceId` and `transactionId`, returning normalized ERA details on automated success or a manual-operations acknowledgement when automated retrieval cannot complete.Compatibility-limited; not for happy-path guides. Requires versioning and compatibility-route classification before broad use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Returns stored normalized ERA details for one remittance when the `eraId` belongs to the organization selected by the bearer API key and stored detail data is available.Compatibility-limited; not for happy-path guides. Requires versioning and compatibility-route classification before broad use.

Records patient acknowledgment for an organization-owned Good Faith Estimate that is currently in delivered status.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local Good Faith Estimate for an existing organization-owned patient, computes line totals and total estimated cost, assigns a generated estimate number, calculates a delivery deadline, and attempts PDF generation.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Marks a local Good Faith Estimate as delivered, or returns a no-write simulation response when `simulateOnly` is true.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one organization-scoped Good Faith Estimate summary, including public line items and a linked IDR case summary when the estimate detail query includes one.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns PDF availability for a Good Faith Estimate and, outside simulation mode, PDF download access when a stored PDF key exists.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates a local IDR case for an acknowledged Good Faith Estimate when the billed amount exceeds the estimate by at least the module's dispute threshold.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Lists Good Faith Estimate records owned by the organization selected by the bearer API key, with optional filters for local GFE status, patient, service-date range, overdue flag, and page-based pagination.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Updates local status and safe financial tracking fields on an organization-owned GFE IDR case.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates editable fields on an organization-owned Good Faith Estimate when the current estimate is still in an editable local status.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Voids a local Good Faith Estimate in a voidable status and records the void reason in local audit context.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Marks a found discovery result as dismissed inside the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one local insurance discovery search when it belongs to the organization selected by the bearer API key.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists local insurance discovery search records owned by the organization selected by the bearer API key.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Retries a failed insurance discovery search in simulated mode inside the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates and runs a single insurance discovery search for a patient in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Starts a simulated batch insurance discovery workflow for unique patients in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Verifies discovered coverage and applies local QuickRCM database updates inside the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Accepts, rejects, or updates one coded item in the local extracted coding data for an organization-scoped CodingJob.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Stores clarification answers for a CodingJob or records a simulated clarification reprocess request.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates an organization-scoped Clinical Documentation Improvement (CDI) query from public API-safe fields.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Creates an organization-scoped CodingJob from supplied medical-record text and optional same-organization linkages, then records local public API queue metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Creates or updates an organization-scoped coding automation rule with local conditions and actions JSON.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Creates a local outpatient billing batch for one or more upload IDs already scoped to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates organization-scoped outpatient billing upload metadata from file descriptors without uploading file bytes.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Returns one organization-scoped CodingJob summary without raw clinical note text or the full extractedData payload.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Lists CodingJob summaries owned by the organization selected by the bearer API key, with optional local filters for status and linked appointment, claim, or scribe job.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns the static list of medical coding code systems accepted by the async outpatient coding API.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Records a claims-queue handoff marker in CodingJob metadata without creating or submitting a claim.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates or records a safe simulated extraction request for an existing organization-scoped CodingJob.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates or records a safe simulated rerun request for an existing organization-scoped CodingJob.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Creates a local CodingBatchImport record for a simulated medical-coding import batch.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates or creates a local outpatient billing check run for an organization-scoped CodingJob without external processing.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates or saves local outpatient billing draft selections for an organization-scoped CodingJob and records a coder decision row on save.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Updates safe local workflow fields on an organization-scoped CodingJob and returns the updated public job summary.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Updates local lifecycle status fields for an organization-scoped Clinical Documentation Improvement (CDI) query.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Submits one organization-scoped provider OIG screening request and returns the sanitized local check result. The runtime can return an existing recent matching check instead of creating a new row or performing a fresh federal-source lookup.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns one OIG exclusion check when the check belongs to the organization selected by the bearer API key.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns a paginated list of OIG exclusion checks owned by the organization selected by the bearer API key, with optional filters for local status, checked-at date bounds, entity-name search text, and sort order.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Records a human false-positive or confirmed-excluded decision for an organization-owned OIG exclusion check in a resolvable status.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns an organization-scoped dry-run summary for screenable employees and providers, including latest run metadata, without calling LEIE or SAM.gov sources.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Applies a local positive adjustment amount to a charge on the selected Patient AR account and decrements the account current balance.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Applies an existing organization-scoped patient payment to one or more local charges on the payment account and updates charge and account balances.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Closes a local deposit batch and records actual amount, variance, closure metadata, and balanced/unbalanced status.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local Patient AR account after verifying the patient, optional guarantor, and optional facility belong to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local PENDING collection task for an organization-scoped Patient AR account.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local deposit batch for cash/check-style Patient AR reconciliation in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local non-card Patient AR payment record or validates/dry-runs/returns a queue-only acknowledgement for card, debit, and ACH payment requests without calling Stripe directly.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local DRAFT payment plan and scheduled payment rows for an organization-scoped Patient AR account.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local Patient AR statement draft for an organization-scoped account.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one organization-scoped Patient AR account with the same account detail shape used by list responses.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists patient accounts receivable accounts owned by the organization selected by the bearer API key.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Logs a local collection activity on an organization-scoped collection task and updates the task contact rollup.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Posts a local patient-responsibility charge to an organization-scoped Patient AR account and increments the account current balance.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates safe local account status, collection status, collection score, hardship, charity amount, financial class, and note fields on an organization-scoped Patient AR account.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates local status, outcome, priority, due date, promise-to-pay fields, and notes on an organization-scoped collection task.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates local payment-plan status, installment amount, next payment date, or cancellation reason for an organization-scoped payment plan.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates or returns a queue-only acknowledgement for a patient payment refund request for an organization-scoped payment without calling Stripe or mutating payment rows directly.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates or returns a queue-only acknowledgement for a patient payment void request for an organization-scoped payment without calling Stripe or mutating payment rows directly.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Assigns an active payer enrollment application to a user who is a member of the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Attempts to apply one local status transition to up to 100 active payer enrollment applications in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local DRAFT application for a different organization-scoped target payer by copying selected data from a source application.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local DRAFT payer enrollment application for an organization-owned provider profile and payer configuration.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local provider enrollment profile and initializes local payer enrollment stubs for the organization's configured payers.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns one active payer enrollment application when it belongs to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Lists active payer enrollment applications owned by the organization selected by the bearer API key.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local deficiency record for an active payer enrollment application and may move the application to DEFICIENCY_RECEIVED when that transition is valid.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Records a local follow-up note for an active organization-scoped payer enrollment application and updates local follow-up counters on the application.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Marks a local payer enrollment deficiency as RESOLVED when its parent application belongs to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates local payer enrollment fields on one organization-scoped payer enrollment row.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates one field in the local application data object for an active organization-scoped payer enrollment application.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Applies a valid local status transition to an active payer enrollment application.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates whether an organization-scoped credentialing session has provider information suitable for profile sync, without writing provider enrollment data.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates that an active application could move toward submitted workflow and returns a simulated-only submission response.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Dry-runs a bulk payer enrollment import by validating provider NPIs and payer names against organization-scoped QuickRCM records.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Finds organization-owned remittances whose local `payerId` is `UNKNOWN` and returns sanitized refresh candidates without fetching files or parsing EDI payloads.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns one payment posting record when it is linked through a remittance in the authenticated organization, including sanitized remittance, remittance-claim, claim-control, line-payment, and adjustment summaries.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns a paginated list of sanitized remittance summaries owned by the organization selected by the bearer API key, with optional filters for local remittance status, payer name, and inclusive check-date bounds.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Runs local claim matching for one organization-owned remittance, updates local remittance-claim match state and remittance statistics, and returns aggregate matched/total counts.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates non-PHI metadata on one organization-owned remittance and returns the refreshed sanitized remittance summary.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates the local workflow status on one organization-owned remittance and returns the refreshed sanitized remittance summary.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates direct post-payment input against one organization-scoped remittance claim and returns a safe simulated acceptance response without creating Payment records or mutating claim balances.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates ERA import metadata for the authenticated organization and checks for a duplicate remittance by exact organization, check number, parsed check date, and payer name. The public wrapper does not download files, parse raw X12 835 EDI, or create remittance rows.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates or safely simulates confirm-posting readiness for one organization-owned remittance by counting locally staged payments.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Dry-runs payment staging for one organization-owned remittance and reports how many remittance claims are currently MATCHED.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Validates or safely simulates public remittance finalization for one organization-owned remittance without invoking internal HMAC worker endpoints.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Acknowledges an organization-owned prevention alert or dismisses it when `dismiss` is true.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Applies an approved local auto-fix for an eligible organization-owned prevention finding.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Approves an organization-owned prevention rule and sets its lifecycle target to `PILOT` or `ENFORCE`.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Marks the latest organization-scoped scrub for a claim as cleared for submission when the clear gate allows it.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local prevention rule draft for the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Creates provider education content for the authenticated organization without invoking external generation.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Dismisses an organization-owned prevention alert with a required reason.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Returns one prevention alert after verifying that `alertId` belongs to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns the status of a queued public prevention work item when it belongs to the authenticated organization. Metadata is not returned.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Lists prevention claim-creation alerts owned by the authenticated organization, with filters for lifecycle status, severity, alert type, claim, claim line, user, created date range, and pagination.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Builds a local auto-fix preview for an eligible organization-owned prevention finding without mutating claim line data.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Promotes an organization-owned learned payer rule into a draft local prevention rule workflow.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates an organization-owned claim and either validates, simulates, or queues a local prevention scrub work item.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates an organization-owned claim and either validates, simulates, or queues a local denial-risk prediction work item.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates a bounded batch of organization-owned claims and either validates, simulates, or queues local prevention scrub work items for them.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates provider and denial-pattern inputs, analyzes a bounded set of matching local denial cases, and returns safe workflow state without invoking a large language model (LLM) in the public handler.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Moves a recently cleared organization-owned claim scrub back into prevention review.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Records that an organization-owned prevention alert was acted upon and stores a required action note.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Records the actual outcome for an organization-owned denial prediction to support feedback and accuracy tracking.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Records local delivery or engagement status for organization-owned provider education content.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Updates the workflow status and resolution metadata for an organization-owned pre-submission finding.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Reverts a prior applied auto-fix run when it belongs to the organization and contains reversible rollback data.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Runs a local simulation for an organization-owned prevention rule over a bounded historical claim sample without changing production claim state.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Updates an organization-owned prevention rule and records a new version snapshot in current handler behavior.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Updates organization-owned provider education content and local workflow metadata.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Bulk-updates status values for prior authorization cases within the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Checks whether a service appears to require prior authorization for the organization selected by the bearer API key, using payer, service, diagnosis, and optional provider/member/place-of-service context.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a prior authorization case for the authenticated organization and returns a sanitized case summary.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local appeal for a denied prior authorization in the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local prior authorization document record and returns a scoped presigned upload URL.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates a local renewal case from an approved or expired prior authorization and returns the renewal case summary.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Returns one prior authorization summary when the `priorAuthId` belongs to the organization selected by the bearer API key.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns status for one prior authorization bulk upload batch in the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates a bulk upload processing batch for an already-uploaded prior authorization file. The public OpenAPI description requires public callers to use `queueOnly: true`.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Queues prior authorization submissions for asynchronous processing. The public OpenAPI description requires public callers to use `queueOnly: true`.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates or updates a draft prior authorization for the authenticated organization according to the public operation description.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Submits an existing prior authorization case for payer review according to the public OpenAPI description and returns the updated local case summary.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Updates editable prior authorization fields for an organization-scoped case. The route uses PUT because generated Wasp public API routes do not support PATCH.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates a local prior authorization appeal and any related local case status according to the public operation description.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates only the status of one organization-scoped prior authorization case, with an optional reason.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates bulk prior authorization document submission requests with organization-scoped local reads. The public OpenAPI description requires `dryRun: true`; vendor submission is skipped.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates a prior authorization document submission request with organization-scoped local reads. The public OpenAPI description requires `dryRun: true`; vendor submission is skipped.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Returns the `revenue-cycle-summary` report for the authenticated organization, with aggregate claim and denial counts by status plus decimal-string money totals.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Lists report definitions available to the organization selected by the bearer API key, including report category, availability, supported filters, and metric identifiers.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates a local charge reconciliation session and explicit source procedure items after validating the facility and each patient belongs to the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates an organization-owned insurance contract with optional facility scope and optional rate schedule rows after validating payer and facility references.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local charge lag report record for the requested period and optional facility.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Returns organization-scoped Revenue Integrity dashboard metrics grouped by charge reconciliation, coding validation, underpayment recovery, overall revenue at risk, and recovered revenue.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Lists organization-owned underpayment recovery cases with optional filters for status, underpayment type, payer configuration, assignee, and page-based pagination.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates organization ownership for a claim and optional payer configuration, then records a local contract-rate validation workflow request.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Verifies claim ownership and records a local manual underpayment-check workflow request in validated, dry-run, or queued mode.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Validates optional payer/facility ownership and records a local bulk rate validation workflow request over a date range.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Verifies an underpayment case belongs to the authenticated organization and records a local appeal-generation workflow request in validated, dry-run, or queued mode.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Creates a local operating room charge reconciliation session from operating room log entries after validating facility and patient ownership.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Records local appeal submission metadata for an organization-owned underpayment case.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Adds a recovered amount to a tenant-owned underpayment case and records local recovery metadata.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Marks one organization-scoped charge reconciliation item as resolved with a resolution action and optional notes.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local charge capture audit record after validating supplied patient, claim, facility, and billing encounter references when present.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local underpayment case of type IMPLANT_COST for an organization-owned claim and records local underpayment workflow activity.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local coding validation result from structured diagnosis and procedure code inputs, with optional claim, billing encounter, patient, Diagnosis-Related Group, encounter-type, Present on Admission, and length-of-stay request context.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates patient-document pairs and creates queued risk adjustment jobs in bulk for the authenticated organization when not running validation only.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Cancels an active queued or processing risk adjustment job in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates a patient-document pair and creates a queued risk adjustment job for the authenticated organization when not running validation only.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Returns one tenant-scoped risk adjustment job with sanitized HCC result summaries when the job belongs to the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Lists paginated risk adjustment jobs for the organization selected by the bearer API key, with optional status and patient filters.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Validates or resets a terminal risk adjustment job and queues it for reprocessing in the authenticated organization.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Records a human review decision for one HCC code on a tenant-scoped risk adjustment job without returning raw evidence text or review notes.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Records metadata for an already-uploaded organization-scoped scribe audio file, links that audio reference to the job, sets the job status to `UPLOADING`, and returns sanitized file and job metadata.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Marks a completed or already-attested organization-scoped scribe job as `ATTESTED`, optionally recording an attestation note, and returns sanitized job metadata.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates an organization-scoped scribe job in `UPLOADING` status, validates that the templateId and optional patientId belong to the authenticated organization, stores the supplied audio reference, and immediately attempts to enqueue asynchronous scribe processing.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Creates an organization-scoped scribe template for public API job creation, storing reusable prompt text from `structurePrompt` when supplied or from `template` otherwise.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one organization-scoped scribe job and its generated finalNote field when available.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns paginated scribe job summaries owned by the organization selected by the bearer API key, with optional filters for job status, patient, appointment, and template.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Returns paginated organization-scoped reusable scribe templates available for public API job creation.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication.

Queues asynchronous processing for an existing organization-scoped scribe job that already has an attached audio reference, updates local status to `TRANSCRIBING`, and returns HTTP 202 queue acknowledgement.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy, E3 async and idempotency policy, and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Updates safe public fields on an organization-scoped scribe job, including status, finalNote, templateId, audioDurationSeconds, and executionMode.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy and E4 file and artifact governance before production recipes, SDK inclusion, or try-out access.

Updates an organization-scoped scribe template, including reusable prompt text from `structurePrompt` when supplied or from `template` otherwise.Baseline reference only. Requires E6 route registry and E9 release evidence before external publication. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates or locally queues an organization-owned Electronic Data Interchange (EDI) file for a Secure File Transfer Protocol (SFTP) submission workflow while explicitly skipping live SFTP upload from the public API handler.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, E4 file and artifact governance, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Records a local hospice notice acknowledgement and updates local notice acknowledgement state.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns local claim status information for an organization-scoped home-health claim.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Returns local claim status information for an organization-scoped hospice claim.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Creates a local home-health prior authorization tracker after verifying the episode and optional payer config.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Creates a local home-health episode, a draft certification, and two initial open payment periods for the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local home-health referral intake record for the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local hospice election and initial benefit periods for the authenticated organization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local hospice notice payload for an organization-scoped election without submitting it to a clearinghouse.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates a home-health Notice of Admission payload by default, or creates a local NOA record when `validateOnly` is explicitly false.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns aggregate case counts and revenue totals for the authenticated organization across anesthesia, ASC, DME, laboratory, and behavioral-health specialty billing records.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use.

Validates and previews home-health claim-draft readiness for a local payment period.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates hospice census import rows without writing ledger entries or syncing to an EHR.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Validates and previews hospice claim-draft readiness for a local benefit period.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Queues a local home-health institutional claim submission marker and writes a local claim status check.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues a local home-health NOA submission attempt and updates the local NOA to pending acknowledgement.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Marks a local home-health OASIS assessment as submitted/queued without calling EHR or CMS systems inline.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues a local hospice census import commit marker for an existing batch.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy and E3 async and idempotency policy before production recipes, SDK inclusion, or try-out access.

Queues a local hospice institutional claim submission marker and writes a local claim status check.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Queues a local hospice notice submission attempt and updates the notice to pending acknowledgement.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy, E3 async and idempotency policy, and E7 credential, webhook, and vendor trust policy before production recipes, SDK inclusion, or try-out access.

Records a local hospice discharge date and sets the local election status to `DISCHARGED`.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Records a local hospice revocation date and sets the local election status to `REVOKED`.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Applies integer deltas to local used-visit and used-unit counters for a home-health authorization.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates safe local fields on an organization-scoped home-health episode.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates the local status and optional metadata for an organization-scoped home-health referral.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Updates safe local fields on an organization-scoped hospice election.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates a home-health ADR request for a local claim without creating cross-module ADR side effects.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates home-health appeal creation inputs for an organization-scoped denial case.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates a hospice ADR request for a local claim without creating cross-module ADR side effects.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Validates hospice appeal creation inputs for an organization-scoped denial case.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Creates a local SupportTicket record inside the organization selected by the bearer API key and owned by the synthetic public API actor selected by current authentication behavior.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns one local SupportTicket snapshot when the path `ticketId` belongs to both the bearer-key organization and the synthetic public API actor selected by current authentication behavior.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.

Returns local Support ticket snapshots for the bearer-key organization and the synthetic public API actor selected by current public API authentication behavior.Needs publication review. Requires product, security/compliance, tenancy, side-effect, or module-owner approval before production public API use. Also requires E2 side-effect policy before production recipes, SDK inclusion, or try-out access.