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"
}
]
