curl --request GET \
--url https://sandbox.rcintell.com/v1/policies \
--header 'X-API-Key: <api-key>'import requests
url = "https://sandbox.rcintell.com/v1/policies"
headers = {"X-API-Key": "<api-key>"}
response = requests.get(url, headers=headers)
print(response.text)const options = {method: 'GET', headers: {'X-API-Key': '<api-key>'}};
fetch('https://sandbox.rcintell.com/v1/policies', 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://sandbox.rcintell.com/v1/policies",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "GET",
CURLOPT_HTTPHEADER => [
"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"
"net/http"
"io"
)
func main() {
url := "https://sandbox.rcintell.com/v1/policies"
req, _ := http.NewRequest("GET", url, nil)
req.Header.Add("X-API-Key", "<api-key>")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.get("https://sandbox.rcintell.com/v1/policies")
.header("X-API-Key", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/policies")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Get.new(url)
request["X-API-Key"] = '<api-key>'
response = http.request(request)
puts response.read_body{
"count": 123,
"geo_scope": "<string>",
"as_of": "<string>",
"code": "<string>",
"frequency": {
"max_times": 123,
"period": "<string>",
"source_url": "<string>"
},
"geo_codes": [
"<string>"
],
"mac": {},
"payer": "<string>",
"payers": [
"<string>"
],
"plan_type": "<string>",
"policies": [
{
"payer_slug": "<string>",
"as_of": "<string>",
"code": "",
"codes_covered": [
"<string>"
],
"codes_not_covered": [
"<string>"
],
"coverage_status": "<string>",
"delegated_entity": "<string>",
"doc_id": "",
"document_kind": "<string>",
"document_version": "<string>",
"effective_from": "<string>",
"effective_until": "<string>",
"geo_codes": [
"<string>"
],
"geo_scope": "national",
"icd10": [
"<string>"
],
"ingested_at": "<string>",
"kind": "policy",
"mac_jurisdiction": "<string>",
"pdf_uri": "",
"plan_type": "<string>",
"policy_type": "<string>",
"rule_text": "",
"source_key": "",
"supersedes_doc_id": "<string>",
"title": "<string>"
}
],
"state": "<string>",
"units": [
{
"mue_per_day": 123,
"setting": "<string>",
"adjudication": "<string>",
"period": "day",
"rationale": "<string>",
"source": "cms_ncci_mue"
}
],
"warnings": [
"<string>"
]
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Look up payer policies by code, state, and plan type
Return cited policy rows for one payer or, if omitted, every payer.
Medicare FFS (medicare_ffs, medicare, cms, or CMS EDI id):
national NCDs / transmittals, plus MAC LCDs when state is set.
Commercial (uhc, united, claim id 87726, anthem): that
payer’s documents only. LCD/NCD stay on medicare_ffs. Empty
policies means we do not have that payer’s policy — not that
Medicare applies.
payer=* or omit + code returns every cited payer, grouped by
payer_slug on each row.
curl --request GET \
--url https://sandbox.rcintell.com/v1/policies \
--header 'X-API-Key: <api-key>'import requests
url = "https://sandbox.rcintell.com/v1/policies"
headers = {"X-API-Key": "<api-key>"}
response = requests.get(url, headers=headers)
print(response.text)const options = {method: 'GET', headers: {'X-API-Key': '<api-key>'}};
fetch('https://sandbox.rcintell.com/v1/policies', 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://sandbox.rcintell.com/v1/policies",
CURLOPT_RETURNTRANSFER => true,
CURLOPT_ENCODING => "",
CURLOPT_MAXREDIRS => 10,
CURLOPT_TIMEOUT => 30,
CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
CURLOPT_CUSTOMREQUEST => "GET",
CURLOPT_HTTPHEADER => [
"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"
"net/http"
"io"
)
func main() {
url := "https://sandbox.rcintell.com/v1/policies"
req, _ := http.NewRequest("GET", url, nil)
req.Header.Add("X-API-Key", "<api-key>")
res, _ := http.DefaultClient.Do(req)
defer res.Body.Close()
body, _ := io.ReadAll(res.Body)
fmt.Println(string(body))
}HttpResponse<String> response = Unirest.get("https://sandbox.rcintell.com/v1/policies")
.header("X-API-Key", "<api-key>")
.asString();require 'uri'
require 'net/http'
url = URI("https://sandbox.rcintell.com/v1/policies")
http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true
request = Net::HTTP::Get.new(url)
request["X-API-Key"] = '<api-key>'
response = http.request(request)
puts response.read_body{
"count": 123,
"geo_scope": "<string>",
"as_of": "<string>",
"code": "<string>",
"frequency": {
"max_times": 123,
"period": "<string>",
"source_url": "<string>"
},
"geo_codes": [
"<string>"
],
"mac": {},
"payer": "<string>",
"payers": [
"<string>"
],
"plan_type": "<string>",
"policies": [
{
"payer_slug": "<string>",
"as_of": "<string>",
"code": "",
"codes_covered": [
"<string>"
],
"codes_not_covered": [
"<string>"
],
"coverage_status": "<string>",
"delegated_entity": "<string>",
"doc_id": "",
"document_kind": "<string>",
"document_version": "<string>",
"effective_from": "<string>",
"effective_until": "<string>",
"geo_codes": [
"<string>"
],
"geo_scope": "national",
"icd10": [
"<string>"
],
"ingested_at": "<string>",
"kind": "policy",
"mac_jurisdiction": "<string>",
"pdf_uri": "",
"plan_type": "<string>",
"policy_type": "<string>",
"rule_text": "",
"source_key": "",
"supersedes_doc_id": "<string>",
"title": "<string>"
}
],
"state": "<string>",
"units": [
{
"mue_per_day": 123,
"setting": "<string>",
"adjudication": "<string>",
"period": "day",
"rationale": "<string>",
"source": "cms_ncci_mue"
}
],
"warnings": [
"<string>"
]
}{
"detail": [
{
"loc": [
"<string>"
],
"msg": "<string>",
"type": "<string>",
"ctx": {},
"input": "<unknown>"
}
]
}Authorizations
Query Parameters
Payer slug, alias, or claim/EDI id (e.g. uhc, united, 87726). Omit or pass * to return cited rows for every payer, each tagged payer_slug. LCD/NCD never mix into commercial rows.
CPT/HCPCS code
US state (MA, NY). Resolves Medicare MAC.
ffs | medicare_advantage | medicaid | commercial
general = national only, even if state is sent
Point-in-time (YYYY-MM-DD)
Maximum number of records to return.
1 <= x <= 200Response
Successful Response
Only filled when a cited policy posts a frequency. Never invented.
Show child attributes
Show child attributes
Show child attributes
Show child attributes
Show child attributes
Show child attributes