Adjudicate

Authorization

X-API-Key<token>

In: header

Request Body

proceduresProcedures

procedure bundles to adjudicate in the claim.

history?History

procedure bundles collected from previous claims. (Required for MUE2 and PTP violations)

diagnoses?Diagnoses

diagnoses to adjudicate the procedures against.

configAdjudicationConfig

adjudication configuration

Response Body

curl -X POST "https://api.avey.ai/procedures/adjudicate" \
  -H "Content-Type: application/json" \
  -d '{
    "procedures": [
      {
        "cpt": {
          "code": "99213"
        },
        "date": "2025-11-01"
      }
    ],
    "config": {}
  }'

curl -X POST "https://api.avey.ai/procedures/adjudicate" \  -H "Content-Type: application/json" \  -d '{    "procedures": [      {        "cpt": {          "code": "99213"        },        "date": "2025-11-01"      }    ],    "config": {}  }'

[
  {
    "ref_ids": [
      "string"
    ],
    "rule": "MUE1",
    "level": "critical",
    "description": "Procedure quantity exceeds daily limit",
    "cpts": [
      "string"
    ],
    "detail": "Total quantity of 5 exceeds limit of 3"
  }
]

{
  "message": "string"
}

{
  "message": {
    "property1": "string",
    "property2": "string"
  }
}

Adjudicate

Authorization

Request Body

Response Body

200

400

422