curl --request POST \
--url https://api-dev.rcintell.com/v1/encounter/check \
--header 'Content-Type: application/json' \
--header 'X-API-Key: <api-key>' \
--data '
{
"cpt_codes": [
"<string>"
],
"payer_slug": "<string>",
"ccn": "<string>",
"date_of_service": "<string>",
"locality": "<string>",
"place_of_service": "<string>",
"plan_type": "<string>",
"service_category": "<string>",
"state": "<string>",
"visit_count": 123
}
'import requests
url = "https://api-dev.rcintell.com/v1/encounter/check"
payload = {
"cpt_codes": ["<string>"],
"payer_slug": "<string>",
"ccn": "<string>",
"date_of_service": "<string>",
"locality": "<string>",
"place_of_service": "<string>",
"plan_type": "<string>",
"service_category": "<string>",
"state": "<string>",
"visit_count": 123
}
headers = {
"X-API-Key": "<api-key>",
"Content-Type": "application/json"
}
response = requests.post(url, json=payload, headers=headers)
print(response.text)const options = {
method: 'POST',
headers: {'X-API-Key': '<api-key>', 'Content-Type': 'application/json'},
body: JSON.stringify({
cpt_codes: ['<string>'],
payer_slug: '<string>',
ccn: '<string>',
date_of_service: '<string>',
locality: '<string>',
place_of_service: '<string>',
plan_type: '<string>',
service_category: '<string>',
state: '<string>',
visit_count: 123
})
};
fetch('https://api-dev.rcintell.com/v1/encounter/check', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://api-dev.rcintell.com/v1/encounter/check",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "POST",
CURLOPT_POSTFIELDS => json_encode([
'cpt_codes' => [
'<string>'
],
'payer_slug' => '<string>',
'ccn' => '<string>',
'date_of_service' => '<string>',
'locality' => '<string>',
'place_of_service' => '<string>',
'plan_type' => '<string>',
'service_category' => '<string>',
'state' => '<string>',
'visit_count' => 123
]),
CURLOPT_HTTPHEADER => [
"Content-Type: application/json",
"X-API-Key: <api-key>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"strings"
"net/http"
"io"
)
func main() {
url := "https://api-dev.rcintell.com/v1/encounter/check"
payload := strings.NewReader("{\n \"cpt_codes\": [\n \"<string>\"\n ],\n \"payer_slug\": \"<string>\",\n \"ccn\": \"<string>\",\n \"date_of_service\": \"<string>\",\n \"locality\": \"<string>\",\n \"place_of_service\": \"<string>\",\n \"plan_type\": \"<string>\",\n \"service_category\": \"<string>\",\n \"state\": \"<string>\",\n \"visit_count\": 123\n}")
req, _ := http.NewRequest("POST", url, payload)
req.Header.Add("X-API-Key", "<api-key>")
req.Header.Add("Content-Type", "application/json")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.post("https://api-dev.rcintell.com/v1/encounter/check")
.header("X-API-Key", "<api-key>")
.header("Content-Type", "application/json")
.body("{\n \"cpt_codes\": [\n \"<string>\"\n ],\n \"payer_slug\": \"<string>\",\n \"ccn\": \"<string>\",\n \"date_of_service\": \"<string>\",\n \"locality\": \"<string>\",\n \"place_of_service\": \"<string>\",\n \"plan_type\": \"<string>\",\n \"service_category\": \"<string>\",\n \"state\": \"<string>\",\n \"visit_count\": 123\n}")
.asString();require 'uri'
require 'net/http'
url = URI("https://api-dev.rcintell.com/v1/encounter/check")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Post.new(url)
request["X-API-Key"] = '<api-key>'
request["Content-Type"] = 'application/json'
request.body = "{\n \"cpt_codes\": [\n \"<string>\"\n ],\n \"payer_slug\": \"<string>\",\n \"ccn\": \"<string>\",\n \"date_of_service\": \"<string>\",\n \"locality\": \"<string>\",\n \"place_of_service\": \"<string>\",\n \"plan_type\": \"<string>\",\n \"service_category\": \"<string>\",\n \"state\": \"<string>\",\n \"visit_count\": 123\n}"
response = http.request(request)
puts response.read_body{
"codes": [
"<string>"
],
"encounter_ready": true,
"payer_slug": "<string>",
"ccn": "<string>",
"date_of_service": "<string>",
"ncci_clean": true,
"ncci_conflicts": [
{
"code1": "<string>",
"code2": "<string>",
"claim_type": "<string>",
"col1_proc_cd": "<string>",
"col2_proc_cd": "<string>",
"effective_date": "<string>",
"is_bundled": true,
"modifier_allowed": true,
"modifier_indicator": "<string>",
"ptp_rationale": "<string>"
}
],
"pa_required_count": 0,
"pa_results": [
{
"code": "<string>",
"confidence": 123,
"determination": "<string>",
"pa_required": true,
"resolution_tier": "<string>",
"auth_type": "<string>",
"delegation_vendor": "<string>",
"pa_threshold": 123,
"required_documents": [
"<string>"
],
"threshold_remaining": 123
}
],
"payer_name": "<string>",
"payment_estimates": [
{
"code": "<string>",
"conversion_factor": 123,
"estimated_payment": 123,
"mp_rvu_adjusted": 123,
"pe_rvu_adjusted": 123,
"work_rvu_adjusted": 123,
"facility_rate": true,
"locality": "0000"
}
],
"total_estimated_payment": 0,
"warnings": [
{
"message": "<string>",
"severity": "<string>",
"code": "<string>"
}
]
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Pre-visit encounter readiness check
Full encounter readiness assessment: PA status, NCCI validation, GPCI-adjusted payment estimates, and billing warnings — all in one call.
curl --request POST \
--url https://api-dev.rcintell.com/v1/encounter/check \
--header 'Content-Type: application/json' \
--header 'X-API-Key: <api-key>' \
--data '
{
"cpt_codes": [
"<string>"
],
"payer_slug": "<string>",
"ccn": "<string>",
"date_of_service": "<string>",
"locality": "<string>",
"place_of_service": "<string>",
"plan_type": "<string>",
"service_category": "<string>",
"state": "<string>",
"visit_count": 123
}
'import requests
url = "https://api-dev.rcintell.com/v1/encounter/check"
payload = {
"cpt_codes": ["<string>"],
"payer_slug": "<string>",
"ccn": "<string>",
"date_of_service": "<string>",
"locality": "<string>",
"place_of_service": "<string>",
"plan_type": "<string>",
"service_category": "<string>",
"state": "<string>",
"visit_count": 123
}
headers = {
"X-API-Key": "<api-key>",
"Content-Type": "application/json"
}
response = requests.post(url, json=payload, headers=headers)
print(response.text)const options = {
method: 'POST',
headers: {'X-API-Key': '<api-key>', 'Content-Type': 'application/json'},
body: JSON.stringify({
cpt_codes: ['<string>'],
payer_slug: '<string>',
ccn: '<string>',
date_of_service: '<string>',
locality: '<string>',
place_of_service: '<string>',
plan_type: '<string>',
service_category: '<string>',
state: '<string>',
visit_count: 123
})
};
fetch('https://api-dev.rcintell.com/v1/encounter/check', options)
.then(res => res.json())
.then(res => console.log(res))
.catch(err => console.error(err));<?php
$curl = curl_init();
curl_setopt_array($curl, [
CURLOPT_URL => "https://api-dev.rcintell.com/v1/encounter/check",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "POST",
CURLOPT_POSTFIELDS => json_encode([
'cpt_codes' => [
'<string>'
],
'payer_slug' => '<string>',
'ccn' => '<string>',
'date_of_service' => '<string>',
'locality' => '<string>',
'place_of_service' => '<string>',
'plan_type' => '<string>',
'service_category' => '<string>',
'state' => '<string>',
'visit_count' => 123
]),
CURLOPT_HTTPHEADER => [
"Content-Type: application/json",
"X-API-Key: <api-key>"
],
]);
$response = curl_exec($curl);
$err = curl_error($curl);
curl_close($curl);
if ($err) {
echo "cURL Error #:" . $err;
} else {
echo $response;
}package main
import (
"fmt"
"strings"
"net/http"
"io"
)
func main() {
url := "https://api-dev.rcintell.com/v1/encounter/check"
payload := strings.NewReader("{\n \"cpt_codes\": [\n \"<string>\"\n ],\n \"payer_slug\": \"<string>\",\n \"ccn\": \"<string>\",\n \"date_of_service\": \"<string>\",\n \"locality\": \"<string>\",\n \"place_of_service\": \"<string>\",\n \"plan_type\": \"<string>\",\n \"service_category\": \"<string>\",\n \"state\": \"<string>\",\n \"visit_count\": 123\n}")
req, _ := http.NewRequest("POST", url, payload)
req.Header.Add("X-API-Key", "<api-key>")
req.Header.Add("Content-Type", "application/json")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.post("https://api-dev.rcintell.com/v1/encounter/check")
.header("X-API-Key", "<api-key>")
.header("Content-Type", "application/json")
.body("{\n \"cpt_codes\": [\n \"<string>\"\n ],\n \"payer_slug\": \"<string>\",\n \"ccn\": \"<string>\",\n \"date_of_service\": \"<string>\",\n \"locality\": \"<string>\",\n \"place_of_service\": \"<string>\",\n \"plan_type\": \"<string>\",\n \"service_category\": \"<string>\",\n \"state\": \"<string>\",\n \"visit_count\": 123\n}")
.asString();require 'uri'
require 'net/http'
url = URI("https://api-dev.rcintell.com/v1/encounter/check")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Post.new(url)
request["X-API-Key"] = '<api-key>'
request["Content-Type"] = 'application/json'
request.body = "{\n \"cpt_codes\": [\n \"<string>\"\n ],\n \"payer_slug\": \"<string>\",\n \"ccn\": \"<string>\",\n \"date_of_service\": \"<string>\",\n \"locality\": \"<string>\",\n \"place_of_service\": \"<string>\",\n \"plan_type\": \"<string>\",\n \"service_category\": \"<string>\",\n \"state\": \"<string>\",\n \"visit_count\": 123\n}"
response = http.request(request)
puts response.read_body{
"codes": [
"<string>"
],
"encounter_ready": true,
"payer_slug": "<string>",
"ccn": "<string>",
"date_of_service": "<string>",
"ncci_clean": true,
"ncci_conflicts": [
{
"code1": "<string>",
"code2": "<string>",
"claim_type": "<string>",
"col1_proc_cd": "<string>",
"col2_proc_cd": "<string>",
"effective_date": "<string>",
"is_bundled": true,
"modifier_allowed": true,
"modifier_indicator": "<string>",
"ptp_rationale": "<string>"
}
],
"pa_required_count": 0,
"pa_results": [
{
"code": "<string>",
"confidence": 123,
"determination": "<string>",
"pa_required": true,
"resolution_tier": "<string>",
"auth_type": "<string>",
"delegation_vendor": "<string>",
"pa_threshold": 123,
"required_documents": [
"<string>"
],
"threshold_remaining": 123
}
],
"payer_name": "<string>",
"payment_estimates": [
{
"code": "<string>",
"conversion_factor": 123,
"estimated_payment": 123,
"mp_rvu_adjusted": 123,
"pe_rvu_adjusted": 123,
"work_rvu_adjusted": 123,
"facility_rate": true,
"locality": "0000"
}
],
"total_estimated_payment": 0,
"warnings": [
{
"message": "<string>",
"severity": "<string>",
"code": "<string>"
}
]
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Authorizations
Body
Pre-visit encounter readiness check — bundles PA, NCCI, payment, and billing.
CPT/HCPCS codes planned for the encounter
1 - 25 elementsPayer slug or alias
Facility CCN (enables GPCI + billing guide)
Planned date of service (YYYY-MM-DD)
GPCI locality code for payment estimates
Place of service code (e.g. 11=office)
Plan type: commercial, medicaid, hmo, etc.
Service category for PA fallback
State abbreviation for state-specific rules
Current visit count for threshold checks
Response
Successful Response
Complete encounter readiness assessment.
True when no critical blockers found
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