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GET
Get PA documentation requirements

Authorizations

X-API-Key
string
header
required

Path Parameters

payer_slug
string
required

Normalized payer slug used by the prior-auth knowledge graph.

code
string
required

Billing or terminology code value (CPT/HCPCS/NDC/etc depending on endpoint context).

Response

Successful Response

Documentation requirements for a specific code at a payer.

code
string
required
payer_slug
string
required
clinical_criteria
ClinicalCriteria · object

Clinical criteria for PA evaluation.

documentation_requirements
string[]
medical_necessity_criteria
ClinicalCriteria · object

Clinical criteria for PA evaluation.

source_document
string | null
source_url
string | null