slug: develop-health
provider: Develop Health
generated_by: planning/capability-mapping/scripts/classify_capabilities.py
model: claude-opus-5
frame:
- Healthcare Providers
min_confidence: 0.7
capability_model:
  source: https://github.com/vincentmakes/turbo-ea-capabilities
  license: CC-BY-4.0
  attribution: Turbo EA Capabilities by Vincent Verdet — Turbo EA, https://github.com/vincentmakes/turbo-ea-capabilities,
    CC BY 4.0
  notice: NOTICE
edge_count: 1
edges:
- tag: public-api
  spec_file: develop-health-public-api-api-openapi.yml
  capability_id: BC-2800.30
  capability_id_l1: BC-2800
  capability_name: Eligibility & Benefits Verification
  confidence: 0.88
  evidence: POST /benefit-verification create_benefit_verification_route; POST /clinical-qualification;
    POST /prior-authorization create_prior_auth_route; schemas DrugCoverage, EligibilityCheckResponseSuccessItem,
    CoverageDetailCode
  reason: Operations run real-time medication benefit verification, coverage checks and prior-authorisation
    submission/status — squarely verification of insurance coverage, benefits and authorisation requirements
    before service delivery. Some overlap with pharmacy operations, but the eligibility/authorisation
    reading dominates the surface.