Payer policies in the context of a registered facility
GET /v1/policies with the facility’s type and state filled in.
The facility’s registered facility_type (e.g. fqhc) and state (MAC
localization) are applied; rows aimed only at other facility types are
dropped. GET /v1/policies stays the wide-open view.
GET
/
v1
/
facilities
/
{ccn}
/
policies
Payer policies in the context of a registered facility
curl --request GET \ --url https://sandbox.rcintell.com/v1/facilities/{ccn}/policies \ --header 'X-API-Key: <api-key>'
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/v1/340b/manufacturers","href":"/api-reference/340b-policy/list-latest-approved-manufacturer-340b-policies"},{"title":"Full current manufacturer policy + history","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/340b/manufacturers/{manufacturer_id}/policy","href":"/api-reference/340b-policy/full-current-manufacturer-policy-+-history"},{"title":"Batch resolve manufacturers/drugs × sites (pure lookup)","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json post /v1/340b/portfolio/check","href":"/api-reference/340b-policy/batch-resolve-manufacturersdrugs-×-sites-pure-lookup"},{"title":"MFP / rebate-model drug list","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/340b/rebate-model/drugs","href":"/api-reference/340b-policy/mfp-rebate-model-drug-list"},{"title":"Resolve 340B access status for an entity / NDC / manufacturer","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/340b/restrictions/resolve","href":"/api-reference/340b-policy/resolve-340b-access-status-for-an-entity-ndc-manufacturer"},{"title":"Register a change-feed watch (mutates state; not trial-allowlisted)","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json post /v1/340b/watches","href":"/api-reference/340b-policy/register-a-change-feed-watch-mutates-state;-not-trial-allowlisted"}]},{"group":"agents","pages":[{"title":"Submit code research query","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json post /v1/agents/code-research","href":"/api-reference/agents/submit-code-research-query"},{"title":"Submit denial resolution query","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json post /v1/agents/denial-resolution","href":"/api-reference/agents/submit-denial-resolution-query"},{"title":"Get job result","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/agents/jobs/{job_id}","href":"/api-reference/agents/get-job-result"},{"title":"Get reasoning trace","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/agents/jobs/{job_id}/trace","href":"/api-reference/agents/get-reasoning-trace"},{"title":"Submit medical necessity check","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json post /v1/agents/medical-necessity","href":"/api-reference/agents/submit-medical-necessity-check"}]},{"group":"codes","pages":[{"title":"Get coverage determinations for a code","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/codes/coverage/{code}","href":"/api-reference/codes/get-coverage-determinations-for-a-code"},{"title":"Get crosswalks for a code","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/codes/crosswalk/{code}","href":"/api-reference/codes/get-crosswalks-for-a-code"},{"title":"List code groups (service_group, BETOS, or RBCS 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a code","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json post /v1/codes/resolve","href":"/api-reference/codes/resolve-full-l5l6-for-a-code"},{"title":"Search service codes","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/codes/search","href":"/api-reference/codes/search-service-codes"},{"title":"Get STC mappings for a code","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/codes/stc-lookup/{code}","href":"/api-reference/codes/get-stc-mappings-for-a-code"},{"title":"Get service code detail","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/codes/{code}","href":"/api-reference/codes/get-service-code-detail"},{"title":"NCCI PTP counterparts and MUE units/day for one CPT","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/codes/{code}/companions","href":"/api-reference/codes/ncci-ptp-counterparts-and-mue-unitsday-for-one-cpt"},{"title":"Get NCCI edits for a 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/v1/concepts/umls/search","href":"/api-reference/knowledge/search-umls-concepts"},{"title":"Get UMLS concept detail by CUI","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/concepts/umls/{cui}","href":"/api-reference/knowledge/get-umls-concept-detail-by-cui"},{"title":"Dataset version change feed (v1 → v2)","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/data/changes","href":"/api-reference/knowledge/dataset-version-change-feed-v1-→-v2"},{"title":"List dataset snapshots","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/data/snapshots","href":"/api-reference/knowledge/list-dataset-snapshots"},{"title":"Current serving dataset versions","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/data/versions","href":"/api-reference/knowledge/current-serving-dataset-versions"},{"title":"Calculate MS-DRG IPPS 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/v1/medi-cal/apr-drg/payment","href":"/api-reference/knowledge/calculate-medi-cal-apr-drg-payment"},{"title":"Search Medi-Cal medical supplies","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/medi-cal/supplies/search","href":"/api-reference/knowledge/search-medi-cal-medical-supplies"},{"title":"Get one Medi-Cal supply code","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/medi-cal/supplies/{billing_code}","href":"/api-reference/knowledge/get-one-medi-cal-supply-code"}]},{"group":"payers-public","pages":[{"title":"[Public] List payers","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/directory/payers/","href":"/api-reference/payers-public/[public]-list-payers"},{"title":"[Public] Get payer detail","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/directory/payers/{slug}","href":"/api-reference/payers-public/[public]-get-payer-detail"},{"title":"Get denial patterns (API key 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/v1/facilities/","href":"/api-reference/facilities/list-facilities"},{"title":"Get facility by CCN","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/facilities/{ccn}","href":"/api-reference/facilities/get-facility-by-ccn"},{"title":"Update facility","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json put /v1/facilities/{ccn}","href":"/api-reference/facilities/update-facility"},{"title":"Delete (or deactivate) a facility","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json delete /v1/facilities/{ccn}","href":"/api-reference/facilities/delete-or-deactivate-a-facility"},{"title":"List a facility's prior-auth overrides","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/facilities/{ccn}/pa-overrides","href":"/api-reference/facilities/list-a-facilitys-prior-auth-overrides"},{"title":"Add a facility-specific prior-auth override","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json 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/v1/ncci/mue/dme/{code}","href":"/api-reference/ncci/mue-limits-—-dme-supplier-services"},{"title":"MUE limits — Hospital Outpatient Services","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/ncci/mue/hosp-op/{code}","href":"/api-reference/ncci/mue-limits-—-hospital-outpatient-services"},{"title":"MUE limits — Practitioner Services","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/ncci/mue/practitioner/{code}","href":"/api-reference/ncci/mue-limits-—-practitioner-services"},{"title":"PTP edit — Hospital Services","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/ncci/ptp/hosp","href":"/api-reference/ncci/ptp-edit-—-hospital-services"},{"title":"PTP edit — Practitioner Services","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/ncci/ptp/prac","href":"/api-reference/ncci/ptp-edit-—-practitioner-services"},{"title":"Validate a code pair for PTP 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/v1/payers/{slug}/appeal-deadline","href":"/api-reference/payers/calculate-appeal-deadlines"},{"title":"Compose directory + PA + fee + policy for a claim","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/payers/{slug}/claim-intelligence","href":"/api-reference/payers/compose-directory-+-pa-+-fee-+-policy-for-a-claim"},{"title":"Look up a denial code for a specific payer","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/payers/{slug}/denial-codes/{code}","href":"/api-reference/payers/look-up-a-denial-code-for-a-specific-payer"},{"title":"Get common denial patterns","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get /v1/payers/{slug}/denial-patterns","href":"/api-reference/payers/get-common-denial-patterns"},{"title":"Calculate timely filing deadline","deprecated":null,"version":null,"openapi":"/docs/openapi.client.json get 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