A common use-case for Opkit is contacting patients’ insurance companies to secure prior authorization for a medical procedure. In this use-case, the user provides context about the patient, subscriber, provider, and procedure and instructs Opkit to contact the relevant insurance company, initiate a new prior authorization, and collect the following pieces of information:

  • Prior authorizaton number

Example values for task components are included below.

Target:

Anthem (+18009999)

Context:

[
  {
    "name": "Patient details",
    "items": [
      {
        "name": "Name",
        "value": "John Smith"
      },
      {
        "name": "Date of birth",
        "value": "1990-01-01"
      },
      {
        "name": "Relationship to subscriber",
        "value": "self"
      }
    ]
  },
  {
    "name": "Subscriber details",
    "items": [
      {
        "name": "Name",
        "value": "John Smith"
      },
      {
        "name": "Date of birth",
        "value": "1990-01-01"
      },
      {
        "name": "Member ID",
        "value": "123456"
      }
    ]
  },
  {
    "name": "Provider details",
    "items": [
      {
        "name": "Name",
        "value": "Jane Doe"
      },
      {
        "name": "NPI number",
        "value": "123456"
      },
      {
        "name": "Tax ID",
        "value": "123456"
      }
    ]
  },
  {
    "name": "Procedure details",
    "items": [
      {
        "name": "CPT code",
        "value": "29888"
      }
      {
        "name": "Name",
        "value": "ACL repair"
      }
    ]
  }
]

Objectives:

[
  {
    "name": "Prior authorization number",
    "type": "string"
  }
]

Results:

Results are only available on completed tasks.

[
  {
    "name": "Prior authorization number",
    "value": "123456"
  }
]
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