Create Patient Plan

curl --request POST \
  --url https://app.silnahealth.com/api/public/v1/patient-plans/ \
  --header 'Authorization: Bearer <token>' \
  --header 'Content-Type: application/json' \
  --data '
{
  "member_number": "<string>",
  "payor_entity_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "plan_order_number": 123,
  "group_number": null,
  "start_date": null,
  "end_date": null,
  "insurance_type": null,
  "source_id": null,
  "insurance_card_file_id": null,
  "insurance_card_back_file_id": null,
  "conflict_behavior": "RAISE_ERROR"
}
'

import requests

url = "https://app.silnahealth.com/api/public/v1/patient-plans/"

payload = {
    "member_number": "<string>",
    "payor_entity_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
    "patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
    "plan_order_number": 123,
    "group_number": None,
    "start_date": None,
    "end_date": None,
    "insurance_type": None,
    "source_id": None,
    "insurance_card_file_id": None,
    "insurance_card_back_file_id": None,
    "conflict_behavior": "RAISE_ERROR"
}
headers = {
    "Authorization": "Bearer <token>",
    "Content-Type": "application/json"
}

response = requests.post(url, json=payload, headers=headers)

print(response.text)

const options = {
  method: 'POST',
  headers: {Authorization: 'Bearer <token>', 'Content-Type': 'application/json'},
  body: JSON.stringify({
    member_number: '<string>',
    payor_entity_id: '3c90c3cc-0d44-4b50-8888-8dd25736052a',
    patient_id: '3c90c3cc-0d44-4b50-8888-8dd25736052a',
    plan_order_number: 123,
    group_number: null,
    start_date: null,
    end_date: null,
    insurance_type: null,
    source_id: null,
    insurance_card_file_id: null,
    insurance_card_back_file_id: null,
    conflict_behavior: 'RAISE_ERROR'
  })
};

fetch('https://app.silnahealth.com/api/public/v1/patient-plans/', options)
  .then(res => res.json())
  .then(res => console.log(res))
  .catch(err => console.error(err));

<?php

$curl = curl_init();

curl_setopt_array($curl, [
  CURLOPT_URL => "https://app.silnahealth.com/api/public/v1/patient-plans/",
  CURLOPT_RETURNTRANSFER => true,
  CURLOPT_ENCODING => "",
  CURLOPT_MAXREDIRS => 10,
  CURLOPT_TIMEOUT => 30,
  CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
  CURLOPT_CUSTOMREQUEST => "POST",
  CURLOPT_POSTFIELDS => json_encode([
    'member_number' => '<string>',
    'payor_entity_id' => '3c90c3cc-0d44-4b50-8888-8dd25736052a',
    'patient_id' => '3c90c3cc-0d44-4b50-8888-8dd25736052a',
    'plan_order_number' => 123,
    'group_number' => null,
    'start_date' => null,
    'end_date' => null,
    'insurance_type' => null,
    'source_id' => null,
    'insurance_card_file_id' => null,
    'insurance_card_back_file_id' => null,
    'conflict_behavior' => 'RAISE_ERROR'
  ]),
  CURLOPT_HTTPHEADER => [
    "Authorization: Bearer <token>",
    "Content-Type: application/json"
  ],
]);

$response = curl_exec($curl);
$err = curl_error($curl);

curl_close($curl);

if ($err) {
  echo "cURL Error #:" . $err;
} else {
  echo $response;
}

package main

import (
	"fmt"
	"strings"
	"net/http"
	"io"
)

func main() {

	url := "https://app.silnahealth.com/api/public/v1/patient-plans/"

	payload := strings.NewReader("{\n  \"member_number\": \"<string>\",\n  \"payor_entity_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"patient_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"plan_order_number\": 123,\n  \"group_number\": null,\n  \"start_date\": null,\n  \"end_date\": null,\n  \"insurance_type\": null,\n  \"source_id\": null,\n  \"insurance_card_file_id\": null,\n  \"insurance_card_back_file_id\": null,\n  \"conflict_behavior\": \"RAISE_ERROR\"\n}")

	req, _ := http.NewRequest("POST", url, payload)

	req.Header.Add("Authorization", "Bearer <token>")
	req.Header.Add("Content-Type", "application/json")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(string(body))

}

HttpResponse<String> response = Unirest.post("https://app.silnahealth.com/api/public/v1/patient-plans/")
  .header("Authorization", "Bearer <token>")
  .header("Content-Type", "application/json")
  .body("{\n  \"member_number\": \"<string>\",\n  \"payor_entity_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"patient_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"plan_order_number\": 123,\n  \"group_number\": null,\n  \"start_date\": null,\n  \"end_date\": null,\n  \"insurance_type\": null,\n  \"source_id\": null,\n  \"insurance_card_file_id\": null,\n  \"insurance_card_back_file_id\": null,\n  \"conflict_behavior\": \"RAISE_ERROR\"\n}")
  .asString();

require 'uri'
require 'net/http'

url = URI("https://app.silnahealth.com/api/public/v1/patient-plans/")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["Authorization"] = 'Bearer <token>'
request["Content-Type"] = 'application/json'
request.body = "{\n  \"member_number\": \"<string>\",\n  \"payor_entity_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"patient_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"plan_order_number\": 123,\n  \"group_number\": null,\n  \"start_date\": null,\n  \"end_date\": null,\n  \"insurance_type\": null,\n  \"source_id\": null,\n  \"insurance_card_file_id\": null,\n  \"insurance_card_back_file_id\": null,\n  \"conflict_behavior\": \"RAISE_ERROR\"\n}"

response = http.request(request)
puts response.read_body

{
  "patient_plan_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a"
}

{
  "message": "<string>"
}

{
  "message": "<string>",
  "type": "AUTH_INVALID_REQUEST_HEADER"
}

{
  "message": "<string>"
}

{
  "message": "<string>"
}

{
  "message": "<string>"
}

POST

public

patient-plans

Create Patient Plan

curl --request POST \
  --url https://app.silnahealth.com/api/public/v1/patient-plans/ \
  --header 'Authorization: Bearer <token>' \
  --header 'Content-Type: application/json' \
  --data '
{
  "member_number": "<string>",
  "payor_entity_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "plan_order_number": 123,
  "group_number": null,
  "start_date": null,
  "end_date": null,
  "insurance_type": null,
  "source_id": null,
  "insurance_card_file_id": null,
  "insurance_card_back_file_id": null,
  "conflict_behavior": "RAISE_ERROR"
}
'

import requests

url = "https://app.silnahealth.com/api/public/v1/patient-plans/"

payload = {
    "member_number": "<string>",
    "payor_entity_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
    "patient_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
    "plan_order_number": 123,
    "group_number": None,
    "start_date": None,
    "end_date": None,
    "insurance_type": None,
    "source_id": None,
    "insurance_card_file_id": None,
    "insurance_card_back_file_id": None,
    "conflict_behavior": "RAISE_ERROR"
}
headers = {
    "Authorization": "Bearer <token>",
    "Content-Type": "application/json"
}

response = requests.post(url, json=payload, headers=headers)

print(response.text)

const options = {
  method: 'POST',
  headers: {Authorization: 'Bearer <token>', 'Content-Type': 'application/json'},
  body: JSON.stringify({
    member_number: '<string>',
    payor_entity_id: '3c90c3cc-0d44-4b50-8888-8dd25736052a',
    patient_id: '3c90c3cc-0d44-4b50-8888-8dd25736052a',
    plan_order_number: 123,
    group_number: null,
    start_date: null,
    end_date: null,
    insurance_type: null,
    source_id: null,
    insurance_card_file_id: null,
    insurance_card_back_file_id: null,
    conflict_behavior: 'RAISE_ERROR'
  })
};

fetch('https://app.silnahealth.com/api/public/v1/patient-plans/', options)
  .then(res => res.json())
  .then(res => console.log(res))
  .catch(err => console.error(err));

<?php

$curl = curl_init();

curl_setopt_array($curl, [
  CURLOPT_URL => "https://app.silnahealth.com/api/public/v1/patient-plans/",
  CURLOPT_RETURNTRANSFER => true,
  CURLOPT_ENCODING => "",
  CURLOPT_MAXREDIRS => 10,
  CURLOPT_TIMEOUT => 30,
  CURLOPT_HTTP_VERSION => CURL_HTTP_VERSION_1_1,
  CURLOPT_CUSTOMREQUEST => "POST",
  CURLOPT_POSTFIELDS => json_encode([
    'member_number' => '<string>',
    'payor_entity_id' => '3c90c3cc-0d44-4b50-8888-8dd25736052a',
    'patient_id' => '3c90c3cc-0d44-4b50-8888-8dd25736052a',
    'plan_order_number' => 123,
    'group_number' => null,
    'start_date' => null,
    'end_date' => null,
    'insurance_type' => null,
    'source_id' => null,
    'insurance_card_file_id' => null,
    'insurance_card_back_file_id' => null,
    'conflict_behavior' => 'RAISE_ERROR'
  ]),
  CURLOPT_HTTPHEADER => [
    "Authorization: Bearer <token>",
    "Content-Type: application/json"
  ],
]);

$response = curl_exec($curl);
$err = curl_error($curl);

curl_close($curl);

if ($err) {
  echo "cURL Error #:" . $err;
} else {
  echo $response;
}

package main

import (
	"fmt"
	"strings"
	"net/http"
	"io"
)

func main() {

	url := "https://app.silnahealth.com/api/public/v1/patient-plans/"

	payload := strings.NewReader("{\n  \"member_number\": \"<string>\",\n  \"payor_entity_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"patient_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"plan_order_number\": 123,\n  \"group_number\": null,\n  \"start_date\": null,\n  \"end_date\": null,\n  \"insurance_type\": null,\n  \"source_id\": null,\n  \"insurance_card_file_id\": null,\n  \"insurance_card_back_file_id\": null,\n  \"conflict_behavior\": \"RAISE_ERROR\"\n}")

	req, _ := http.NewRequest("POST", url, payload)

	req.Header.Add("Authorization", "Bearer <token>")
	req.Header.Add("Content-Type", "application/json")

	res, _ := http.DefaultClient.Do(req)

	defer res.Body.Close()
	body, _ := io.ReadAll(res.Body)

	fmt.Println(string(body))

}

HttpResponse<String> response = Unirest.post("https://app.silnahealth.com/api/public/v1/patient-plans/")
  .header("Authorization", "Bearer <token>")
  .header("Content-Type", "application/json")
  .body("{\n  \"member_number\": \"<string>\",\n  \"payor_entity_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"patient_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"plan_order_number\": 123,\n  \"group_number\": null,\n  \"start_date\": null,\n  \"end_date\": null,\n  \"insurance_type\": null,\n  \"source_id\": null,\n  \"insurance_card_file_id\": null,\n  \"insurance_card_back_file_id\": null,\n  \"conflict_behavior\": \"RAISE_ERROR\"\n}")
  .asString();

require 'uri'
require 'net/http'

url = URI("https://app.silnahealth.com/api/public/v1/patient-plans/")

http = Net::HTTP.new(url.host, url.port)
http.use_ssl = true

request = Net::HTTP::Post.new(url)
request["Authorization"] = 'Bearer <token>'
request["Content-Type"] = 'application/json'
request.body = "{\n  \"member_number\": \"<string>\",\n  \"payor_entity_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"patient_id\": \"3c90c3cc-0d44-4b50-8888-8dd25736052a\",\n  \"plan_order_number\": 123,\n  \"group_number\": null,\n  \"start_date\": null,\n  \"end_date\": null,\n  \"insurance_type\": null,\n  \"source_id\": null,\n  \"insurance_card_file_id\": null,\n  \"insurance_card_back_file_id\": null,\n  \"conflict_behavior\": \"RAISE_ERROR\"\n}"

response = http.request(request)
puts response.read_body

{
  "patient_plan_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a"
}

{
  "message": "<string>"
}

{
  "message": "<string>",
  "type": "AUTH_INVALID_REQUEST_HEADER"
}

{
  "message": "<string>"
}

{
  "message": "<string>"
}

{
  "message": "<string>"
}

How to get the payor_entity_id

Use the Get Payors API.

Handling Conflicts

Using the conflict_behavior field allows you to configure how existing plans are handled when a patient plan already exists at the specified plan_order_number.

The default is RAISE_ERROR and will return a Conflict Error (http status of 409)
BUMP_ONE will move the existing plan at the specified order to the next order number. For example, if you create a new primary plan (order 1) and a primary plan already exists, the existing plan will be moved to secondary (order 2). Note that this will fail with a Conflict Error (409) if the next order number is also occupied.

Create Patient Plan With Insurance Card

If you want to create a patient plan with an insurance card, you will need to do the following steps:

Upload the front of the insurance card to the File Upload API and get the file_id from the response.
Upload the back of the insurance card to the File Upload API and get the file_id from the response.
Make a post request to this api with the file_ids returned from 1 and 2 as the insurance_card_file_id and insurance_card_back_file_id, respectively.

Authorizations

Authorization

string

header

required

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Body

application/json

Request schema for creating a patient plan

Request schema for creating a patient plan

member_number

string

required

Required string length: 2 - 80

payor_entity_id

string<uuid>

required

patient_id

string<uuid>

required

plan_order_number

integer

required

The order number of the plan (1 for primary, 2 for secondary, etc)

group_number

string | null

Required string length: 2 - 80

start_date

string<date-time> | null

end_date

string<date-time> | null

insurance_type

enum<string> | null

The type of insurance

Available options:

COMMERCIAL,

MEDICARE,

MEDICAID,

REGIONAL_CENTER,

WORKERS_COMPENSATION,

AUTO_INSURANCE

source_id

string | null

Unique identifier for the patient plan. This is (optionally) generated and supplied by API clients

insurance_card_file_id

string<uuid> | null

The file ID corresponding to the front of the insurance card

insurance_card_back_file_id

string<uuid> | null

The file ID corresponding to the back of the insurance card

conflict_behavior

enum<string> | null

default:RAISE_ERROR

How to handle a conflict when a patient plan already exists at the specified plan_order_number. RAISE_ERROR (default) will return a 409 Conflict error. BUMP_ONE will move the existing plan at the specified order to the next order number (e.g., primary becomes secondary).

Available options:

RAISE_ERROR,

BUMP_ONE

Response

Response schema for creating a patient plan

Response schema for creating a patient plan

patient_plan_id

string<uuid>

required

API Documentation

Payors

Providers

Files

Patients

Benefit Check

Eligibility Check

Prior Authorizations

Payor Detection

Document Validation

Exports

Escalations

Create Patient Plan

How to get the payor_entity_id

Handling Conflicts

Create Patient Plan With Insurance Card

Authorizations

Body

Response

​How to get the payor_entity_id

​Handling Conflicts

​Create Patient Plan With Insurance Card

Authorizations

Body

Response

How to get the payor_entity_id

Handling Conflicts

Create Patient Plan With Insurance Card