coauth.vercel.app

{
  "type": "object",
  "properties": {
    "fieldId": {
      "type": "string",
      "enum": [
        "member_id",
        "prescriber_npi",
        "diagnosis_code",
        "hcpcs_code",
        "dose",
        "quantity",
        "step_therapy",
        "tb_screen"
      ],
      "description": "Field to set. Call check_payer_rules first: the payer decides which of these are required. Fields: member_id (Member ID); prescriber_npi (Prescriber NPI); diagnosis_code (Primary diagnosis (ICD-10)); hcpcs_code (Requested drug (HCPCS)); dose (Dose & SIG); quantity (Quantity / days supply); step_therapy (Step therapy - DMARDs tried & failed); tb_screen (TB screening result). The clinician-judgment fields (step_exception_rationale, medical_necessity, attending_attestation, specialist_attestation) are not settable through this tool and will be refused; propose text for those with draft_field, which the clinician accepts or rejects."
    },
    "value": {
      "type": "string",
      "description": "Value to write, sourced from the patient record. Coded fields are validated: diagnosis_code must be ICD-10 (e.g. M06.9), hcpcs_code must be a J-code (e.g. J0135), prescriber_npi must be exactly 10 digits."
    }
  },
  "required": [
    "fieldId",
    "value"
  ],
  "additionalProperties": false
}