Universal API Implementation Guide
1.1.19 - ci-build
Universal API Implementation Guide - Local Development build (v1.1.19). See the Directory of published versions
LinkId | Text | Definition | Answer![]() |
---|---|---|---|
![]() ![]() | QuestionnaireResponse | ||
![]() ![]() ![]() | Authorization # | #123456 | |
![]() ![]() ![]() | Date of Treatment | 2022-02-28 | |
![]() ![]() ![]() | Household size | 11 | |
![]() ![]() ![]() | Onsite Pharmacy Name (Optional) | Name of pharmacy | |
![]() ![]() ![]() | Preferred Specialty Pharmacy (Optional) | SP ... | |
![]() ![]() ![]() | Do not contact patient | Yes | |
![]() ![]() ![]() | Ok to leave a detailed message? | No | |
![]() ![]() ![]() | Has treatment started? | Yes | |
![]() ![]() ![]() | Annual household income | $100,001 - $125,000 | |
![]() ![]() ![]() | Onsite Pharmacy? | Yes | |
![]() ![]() ![]() | Is prior authorization in place? | Yes | |
![]() ![]() ![]() | Is this a Prescription plan? | Yes | |
![]() ![]() ![]() | Re-verify benefits at PA expiration | Yes | |
![]() ![]() ![]() | Metastatic non-small cell lung cancer (NSCLC)? | Yes | |
![]() ![]() ![]() | Positive for neurotropic tropomyosoin receptor kinase (NTRK) fusions without a known acquired resistance? | Yes | |
![]() ![]() ![]() | Positive for ROS1? | Yes | |
![]() ![]() ![]() | Ship to: | Practice | |
![]() ![]() ![]() | Specialty Pharmacy? | Yes | |
![]() ![]() ![]() | TCPA Consent Provided? | Yes | |
![]() ![]() ![]() | Ok to send a text message? | No | |
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