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Check Eligibility
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and Claims Submission Workflow
You have patient’s demographics information and patient’s insurance information.
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Contact the VSee team to configure which insurers you want to support. Once configured, use https://vsee.atlassian.net/wiki/spaces/VD/pages/55083127/Insurance+API+Draft#GET-%2Finsurance%2F to pull the list which will also contain insurer_id.
Create a VSee Clinic user via https://vsee.atlassian.net/wiki/spaces/VD/pages/14942243/User+API#POST-%2Fusers%2Fsso
As a response you will receive user_id on VSee side.
Some user fields are required if you want to use the insurance API. Use https://vsee.atlassian.net/wiki/spaces/VD/pages/14942243/User+API#POST-%2Fme to update the user’s insurance information based on user_id.
Run https://vsee.atlassian.net/wiki/spaces/VD/pages/55083127#POST-%2Fusers%2F%3Aid%2Feligibility to trigger the eligibility check for the given user_id. Trigger . The eligibility check may take some time.
Receive a webhook request with eligibility_response message which will contain the result of the eligibility check.
If the user is eligible, trigger a claim submission process for the user_id https://vsee.atlassian.net/wiki/spaces/VD/pages/55083127/Insurance+API+Draft#POST-%2Finsurance%2Fclaims
Receive a webhook request with eligibility_response message which will contain the result of the eligibility check.
POST /me parameters
Required Insurance Information
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