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Payer API Connections

Prior Auth Space supports connections to payer prior authorization APIs so your organization can integrate submission and status workflows with the systems you already use.

How to connect

# OAuth 2.0: include a Bearer access token on each call (obtain credentials after onboarding — see Security).
curl -X POST "https://www.priorauthspace.ai/payer" \\
  -H "Authorization: Bearer <oauth2_access_token>" \\
  -H "Content-Type: application/json" \\
  -H "Accept: application/json" \\
  -d @- <<'EOF'
{
  "submissionId": "8f3a1c2e-7b4d-4c6a-9e1f-0d2b3a4c5e6f",
  "patient": {
    "memberIdentifier": "SUB-556677",
    "firstName": "Jane",
    "lastName": "Doe",
    "dateOfBirth": "1979-03-15",
    "gender": "female"
  },
  "coverage": {
    "payerIdentifier": "PAYER-EXAMPLE-001",
    "planIdentifier": "GOLD-PPO-2026",
    "subscriberRelationship": "self"
  },
  "provider": {
    "npi": "1234567890",
    "organizationName": "Example Medical Group",
    "taxonomyCode": "207Q00000X"
  },
  "orderingProvider": {
    "npi": "1987654321",
    "lastName": "Smith",
    "firstName": "Alex"
  },
  "service": {
    "requestedServiceDate": "2026-05-01",
    "placeOfServiceCode": "11",
    "procedureCodes": [
      { "code": "99213", "codeSystem": "CPT", "description": "Office visit" }
    ],
    "diagnosisCodes": [
      { "code": "R50.9", "codeSystem": "ICD-10-CM", "description": "Fever" }
    ],
    "clinicalSummary": "Brief narrative supporting medical necessity for the requested service."
  },
  "attachments": [
    {
      "title": "clinical-note.pdf",
      "mediaType": "application/pdf",
      "dataBase64": "REPLACE_WITH_BASE64_ENCODED_BYTES_OF_YOUR_FILE"
    }
  ]
}
EOF

Try a request (demo)

This section lets you submit a sample prior authorization request with test data and view a simulated process log and payer-style response. Nothing is sent to a live server—it is only for learning the request shape and flow.

Security

Prior Auth Space uses OAuth 2.0 as the standard way to protect API calls. Your integration sends a short-lived Bearer access token with each request (the examples under How to connect show the Authorization header at a high level).

Your security key and related API credentials are issued after you complete registration and any required paperwork. You can begin that process on our Account page.

OAuth 2.0 also allows us to integrate with external identity providers (IdPs), so your organization can align sign-in and token issuance with the IdP you already use where supported.

Supported Payer Connections

Showing 141 Payer Connections

AgeRight Advantage Health Plan, OR

Portal
Live

Alameda Alliance for Health, CA

Portal
Live

Alignment Health Plan, CA

Portal
Live

Alliant Health Plans, Inc., GA

Portal
Live

AmeriHealth Caritas Family of Companies, PA

Portal
Offline

Arkansas Blue Cross and Blue Shield, AR

Portal
Live

AultCare Insurance Company, OH

Portal
Live

Avera Health Plans, Inc., SD

Portal
Offline

Banner University Health Plans, AZ

Portal
Live

Baylor Scott & White Health Plan, TX

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Live

Bienvivir Senior Health Services, PR

Portal
Offline

Blue Cross & Blue Shield of Rhode Island, RI

Portal
Offline

Blue Cross and Blue Shield of Kansas, KS

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Live

Blue Cross and Blue Shield of North Carolina, NC

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Live

Blue Cross Blue Shield of Massachusetts, MA

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Live

Blue Shield of California, CA

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Live

BlueCross BlueShield of Tennessee, TN

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Offline

CalViva Health, CA

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Live

Capital BlueCross, PA

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Offline

Capital District Physicians' Health Plan, Inc. (CDPHP), NY

Portal
Offline

Capital Health Plan, Inc., FL

Portal
Live

CareFirst BlueCross BlueShield, MD

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Live

CareSource, OH

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Live

Central California Alliance for Health, CA

Portal
Offline

CHRISTUS Health Plan, TX

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Live

Clear Spring Health, IL

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Live

Clever Care Health Plan, CA

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Live

Commonwealth Care Alliance, MA

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Live

Community First Health Plans, TX

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Live

Community Health Choice, Inc. (CHC), TX

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Live

Community Health Group, CA

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Live

Community Health Plan of Washington (CHPW), WA

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Offline

Contra Costa Health Plan, CA

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Live

CountyCare Health Plan, IL

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Live

Cox HealthPlans, LLC, MO

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Live

Denver Health Medical Plan, CO

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Live

Doctors HealthCare Plans, Inc., FL

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Live

Driscoll Health Plan, TX

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Offline

Elevance Health (fka Anthem, Inc.), IN

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Live

EmblemHealth, NY

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Live

Excellus BlueCross BlueShield, NY

Portal
Live

Florida Health Care Plan, Inc., FL

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Live

Geisinger Health Plan, PA

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Offline

Group Health Cooperative of Eau Claire, WI

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Live

Group Health Cooperative of South Central Wisconsin, WI

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Live

Harvard Pilgrim Health Care, MA

Portal
Live

Health Alliance, MI

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Offline

Health First Health Plans, Inc., NY

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Offline

Health Partners Plans, PA

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Live

Hennepin Health, MN

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Offline

Hometown Health Plan, Inc., NV

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Live

Horizon Blue Cross Blue Shield of New Jersey, NJ

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Offline

Imperial Health Plan, CA

Portal
Live

Independence Blue Cross, PA

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Live

Independent Care Health Plan (iCare), WI

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Live

Independent Health Association, Inc., NY

Portal
Live

Inland Empire Health Plan, CA

Portal
Offline

Johns Hopkins Advantage MD, MD

Portal
Live

Kaiser Foundation Health Plan of Colorado, Inc., CO

Portal
Live

KelseyCare Advantage, TX

Portal
Live

KeyCare Advantage, MD

Portal
Live

L.A. Care Health Plan, CA

Portal
Live

Liberty Advantage, NC

Portal
Live

LifeWorks Advantage, VA

Portal
Live

Longevity Health Plan, FL

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Live

Maryland Physicians Care (MPC), MD

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Live

Mass Advantage, MA

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Live

McLaren Health Plan, MI

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Live

MDwise, IN

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Live

Medica, MN

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Live

Medical Mutual of Ohio, OH

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Live

MedStar Family Choice, MD

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Live

Memorial Hermann Health Insurance Company, TX

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Live

Mercy Care Plan, AZ

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Live

MercyCare Health Plans, WI

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Live

MetroPlus Health Plan, Inc., NY

Portal
Live

Moda Health, OR

Portal
Live

Mountain Health CO-OP, CO

Portal
Live

MVP Health Care, VT

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Offline

NHC Advantage, TN

Portal
Live

North East Medical Services, CA

Portal
Live

Ochsner Clinic Foundation, LA

Portal
Live

Oscar Insurance Corporation, NY

Portal
Live

PacificSource Health Plans, OR

Portal
Live

Paramount Insurance Company, OH

Portal
Live

Partners Health Plan, NY

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Live

Partnership HealthPlan of California, CA

Portal
Offline

Perennial Advantage, OH

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Live

Premera Blue Cross, WA

Portal
Offline

Priority Health, MI

Portal
Offline

ProCare Advantage, TX

Portal
Live

Prominence Health Plan, NV

Portal
Live

PruittHealth Premier, Inc., SC

Portal
Live

Quartz Health Solutions, Inc., WI

Portal
Live

Regence BlueCross BlueShield of Oregon, OR

Portal
Live

Ryder Health Plan, Inc., PR

Portal
Offline

Samaritan Health Plans, OR

Portal
Offline

Sanford Health Group, SD

Portal
Live

Santa Clara Family Health Plan, CA

Portal
Offline

Security Health Plan of Wisconsin, Inc., WI

Portal
Offline

Sharp Health Plan, CA

Portal
Offline

Simply Healthcare, FL

Portal
Live

SIMPRA Advantage, Inc., AL

Portal
Live

South Country Health Alliance, MN

Portal
Live

SummaCare, OH

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Live

Sunshine Health, FL

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Live

Superior Select Health Plans, TX

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Live

Sutter Health Plus, CA

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Live

Texas Children's Health Plan, TX

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Live

Texas Independence Health Plan, TX

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Live

The Health Plan, WV

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Live

Triple-S Management Corporation, PR

Portal
Live

Tufts Health Plan, MA

Portal
Live

UCare, MN

Portal
Live

UHA, HI

Portal
Live

Ultimate Health Plans, FL

Portal
Offline

UnitedHealthcare, MN

Portal
Live

University of Utah Health Plans, UT

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Live

UPMC Health Plan, PA

Portal
Live

Upper Peninsula Health Plan, The (UPHP), MI

Portal
Live

Valor Health Plan, OH

Portal
Live

WellCare Health Plans, Inc., FL

Portal
Live

WPS Health Plan, WI

Portal
Live
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