generated: '2026-08-14' method: generated source: openapi/optum-abm-care-decision-support-api-openapi.yml, openapi/optum-abm-pre-pay-lab-api-1-0-0-openapi.yml, openapi/optum-abm-prepay-dme-claim-api-1-0-0-openapi.yml, openapi/optum-abm-priorauth-api-1-0-0-openapi.yml, openapi/optum-attachment-openapi.yml, openapi/optum-auth-referral-submission-api-openapi.yml, openapi/optum-auth-referral-submission-health-check-openapi.yml, openapi/optum-authorization-auth-only-openapi.yml, openapi/optum-benefit-check-api-openapi.yml, openapi/optum-claim-actions-api-openapi.yml, openapi/optum-claim-actions-health-check-openapi.yml, openapi/optum-claim-inquiry-api-openapi.yml, openapi/optum-claim-inquiry-health-check-openapi.yml, openapi/optum-claim-pre-check-api-openapi.yml, openapi/optum-cms-common-facility-openapi.yml, openapi/optum-cms-common-physician-openapi.yml, openapi/optum-core-service-openapi.yml, openapi/optum-cross-community-rest-apis-xc-rest-openapi.yml, openapi/optum-dental-attachment-api-openapi.yml, openapi/optum-dental-pre-care-estimate-api-openapi.yml, openapi/optum-document-search-api-openapi.yml, openapi/optum-document-search-health-check-openapi.yml, openapi/optum-edi-enrollment-v1-openapi.yml, openapi/optum-eligibility-pre-service-health-check-openapi.yml, openapi/optum-enhanced-eligibility-api-openapi.yml, openapi/optum-file-and-document-tracking-api-v1-openapi.yml, openapi/optum-formatting-rule-api-openapi.yml, openapi/optum-medical-network-attachment-retrieval-v1-openapi.yml, openapi/optum-medical-network-attachment-status-v1-openapi.yml, openapi/optum-medical-network-attachments-submission-v1-openapi.yml, openapi/optum-medical-network-claim-status-v2-openapi.yml, openapi/optum-medical-network-claims-responses-and-reports-v2-openapi.yml, openapi/optum-medical-network-eligibility-v3-openapi.yml, openapi/optum-medical-network-institutional-claims-v1-openapi.yml, openapi/optum-medical-network-professional-claims-v3-openapi.yml, openapi/optum-ncc-data-acquisition-api-openapi.yml, openapi/optum-odx-v3-xdr-ingestion-service-api-openapi.yml, openapi/optum-optum-common-facility-openapi.yml, openapi/optum-optum-common-physician-openapi.yml, openapi/optum-optum-real-health-check-api-openapi.yml, openapi/optum-optum-real-pre-service-eligibility-api-openapi.yml, openapi/optum-optum-real-time-econtent-web-services-openapi.yml, openapi/optum-patient-benefit-check-health-check-openapi.yml, openapi/optum-payer-list-api-v1-openapi.yml, openapi/optum-pes-payer-enrollments-v1-openapi.yml, openapi/optum-prior-authorization-v1-openapi.yml, openapi/optum-prometheus-analytics-api-job-submission-openapi.yml, openapi/optum-prometheus-analytics-checkjob-openapi.yml, openapi/optum-real-dental-attachments-api-openapi.yml, openapi/optum-real-dental-claim-status-api-openapi.yml, openapi/optum-real-dental-claim-submission-api-openapi.yml, openapi/optum-real-dental-pre-care-eligibility-api-openapi.yml, openapi/optum-real-dental-pre-care-eligibility-intelligence-api-openapi.yml, openapi/optum-real-prior-authorization-api-openapi.yml, openapi/optum-real-provider-access-api-openapi.yml, openapi/optum-security-and-authorization-v2-openapi.yml, openapi/optum-security-and-authorization-v3-openapi.yml, openapi/optum-submitter-api-openapi.yml, openapi/optum-telecom-formatter-api-openapi.yml description: Recommended x-agentic-access execution contracts, classified heuristically from the OpenAPI. A governance starting point for exposing this API to AI agents — review and bind audience per deployment. See research/curity/agentic-governance/. summary: operations: 483 by_action_class: acting: 122 connected: 361 by_consequence: write: 115 read: 361 physical: 4 safety-critical: 3 human_in_the_loop_required: 3 operations: - path: /abm/dsrservice/v1 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /abm/dsrservicesearch/v1/{decisionSupportNumber} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /abm/dsrservicesearch/v1/{decisionSupportNumber} method: delete x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /abm/dsrservicehc/v1 method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /abm/dsrservicesearch/v1/ method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /abm/prepaylab/v1 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /abm/prepaydme/v1 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /abm/priorauth/v1 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/claim/actions/v1 method: post operationId: claimActions x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/patient/auth/referral/v1 method: post operationId: authReferralSubmission x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/patient/auth/referral/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /apip/auth/sntl/v1/token method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/patient/benefit/check/v1 method: post operationId: benefitCheck x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/claim/actions/v1 method: post operationId: claimActions x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/claim/actions/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/claim/inquiry/v1 method: post operationId: claimInquiry x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/claim/inquiry/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /pre-service/v1/claim/precheck method: post operationId: claimPreCheck x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/cms/facility/supporting-documents/ method: post operationId: getSupportingDocumentationDetails x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/cms/common/transmittal/ method: post operationId: getCMSTransmittal x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/cms/common/policy-lookup/ method: post operationId: searchPolicyLookup x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/cms/common/policy-lookup/{policy-id}/related-articles method: get operationId: fetchRelatedLCDPolicyByPolicyById x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /app/cms/common/cci/modifiers/{code} method: get operationId: fetchRelatedLCDPolicyByPolicyById_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /app/cms/common/cci/codeValidator method: get operationId: fetchValidCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/{mueType}/mue method: get operationId: getMueTableData x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/{iomType}/iom-policy/{codeType}/{code} method: get operationId: getCMSIOMSPolicies x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/{cmsType}/policy-list/ncd/{contractorPart}/{codetype}/{code} method: get operationId: getNCDPolicyList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/{cmsType}/policy-list/lcd/{contractorPart}/{codetype}/{code} method: get operationId: getLCDPolicyList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{procedure-device-type} method: get operationId: getProcedureToDeviceToProcedureCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{procedure-device-type}/{device-or-procedure-code} method: get operationId: getProcedureToDeviceToProcedureCodeSpecific x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{device-type} method: get operationId: fetchDeviceCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{codetype}/mce-edits method: get operationId: fetchMCEEdits x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{codetype}/{code}/drgs method: get operationId: drgCodesForIcdCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{codetype}/{code}/{conditiontype}/cc-mcc method: get operationId: getCCMCCCodeExcludesList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{codetype}/cc-mcc/code-list method: get operationId: getCCMCCCodeList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{codeType}/diagnosis/{code}/ioce-edits method: get operationId: getIOCEAssociatedForICD10CmI9V1Code x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{codeType}/procedure/{code}/ioce-edits method: get operationId: getIOCEAssociatedForCptHcpcsCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{apctype} method: get operationId: fetchAPCCrossCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{apctype}/{code} method: get operationId: fetchCodeSpecificAPCCrossCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/{apcCode}/apc-cross-codes method: get operationId: fetchAPCCrossCodeDetail x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/tob-oce method: get operationId: getTobOce x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/tob-oce/{code} method: get operationId: getTobOceByCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/supporting-documents/{doc-id}/document-download method: get operationId: getSupportingDocumentPDF x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/remittance-advice-remark-codes/ method: get operationId: getRemittanceAdviceCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/mpfs/payment/{carrier}/{locality} method: get operationId: getMPFSFacilityPayment x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/mdc/{codetype}/{mdccode}/drg method: get operationId: fetchDRGCodeListForMDC x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/mdc/{codetype}/all method: get operationId: fetchMCEEdits_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/mce/associated-icd9/{id} method: get operationId: getMCEAssociatedICD9Codes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/mce-associated-icd10/parent/{mce_code} method: get operationId: getMCEAssociatedICD10ParentCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/mce-associated-icd10/dropdown/{id} method: get operationId: getDropdownValues x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/mce-associated-icd10/child/{conditionalId} method: get operationId: getMCEAssociatedICD10ChildCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/ioce-edits method: get operationId: getIOCEEdits x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/ioce-edits/codes-associated-with-edit/{edit-number} method: get operationId: getCodesAssociatedForEdit x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/icd9/{code}/mce-edits method: get operationId: getMCEEditsICD9 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/icd10/{icd10Code}/mce-edits method: get operationId: fetchMCEEditsICD10 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/health-care-reason-codes method: get operationId: getHealthCareReasonCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/drg/{drg-code}/icd9/cross-codes method: get operationId: getI9CodesForDrgCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/drg/{drg-code}/icd10/cross-codes method: get operationId: getI10CodesForDrgCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/drg/{codetype}/all method: get operationId: drgCodesAll x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/device-offset-code-pairs method: get operationId: getDeviceOffsetCodePairs x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/claim-status-codes method: get operationId: getClaimStatusCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/claim-status-category-codes method: get operationId: getClaimStatusCategoryCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/cci/{code}/{column-type} method: get operationId: getSingleCodeView_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/cci/print method: get operationId: printCCIResults_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/cci/effective-date-version method: get operationId: getCCIEffectiveDateAndVersionDesc x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/cci/conflict-view method: get operationId: getMultiCodeCodeView_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/cci/cci-edits-list/{list-type} method: get operationId: getCCIEditsList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/facility/carc method: get operationId: fetchCARCList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/transmittal/{doc-id}/{doc-source-id}/transmittal-download method: get operationId: getCMSTransmittalDocument x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/transmittal/{code} method: get operationId: getCodeDetailCMSTransmittals x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/release-date/{id} method: get operationId: getReleaseDate x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/policy-lookup/{policy-type}/{policy-number} method: get operationId: fetchPolicyByIdValue x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/policy-list/ncd/{contractorPart} method: get operationId: getMedicareNCDPolicyList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/policy-list/lcd/{contractorPart} method: get operationId: getMedicareLCDPolicyList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/noc/pricing-list method: get operationId: getNocDrugPriceList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/medicare-contractors method: get operationId: fetchMedicareContractors x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/hcc/{hccType}/{hccCode}/diagnosis-codes method: get operationId: getDiagnosisCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/hcc/{hccType}/codes method: get operationId: getHCCCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/hcc/{codetype}/{code}/code method: get operationId: getHCCDiagnosisCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/fee-schedule/{fee-schedule-type} method: get operationId: getOutpatientFees x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/fee-schedule/{fee-schedule-type}/{state} method: get operationId: getOutpatientFees_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/fee-schedule/zip-code/{state} method: get operationId: getZipCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/fee-schedule/states/state-list method: get operationId: getStateList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/clinical-diagnostic method: get operationId: getClinicalDiagnostic x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/average-sales/sales-price method: get operationId: getAverageSales x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/ambulance/medicare-localities method: get operationId: getMedicareCarrierLocalities x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/ambulance/ambulance-fee-schedule/{carrier}/{locality} method: get operationId: getAmbulanceFees x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/qpp/ method: post operationId: getTableData x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/cms/common/transmittal/ method: post operationId: getCMSTransmittal x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/cms/common/policy-lookup/ method: post operationId: searchPolicyLookup x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/cms/common/policy-lookup/{policy-id}/related-articles method: get operationId: fetchRelatedLCDPolicyByPolicyById x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /app/cms/common/cci/modifiers/{code} method: get operationId: fetchRelatedLCDPolicyByPolicyById_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /app/cms/common/cci/codeValidator method: get operationId: fetchValidCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/{mueType}/mue method: get operationId: getMueTableData x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/{iomType}/iom-policy/{codeType}/{code} method: get operationId: getCMSIOMSPolicies x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/{cmsType}/policy-list/ncd/{contractorPart}/{codetype}/{code} method: get operationId: getNCDPolicyList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/{cmsType}/policy-list/lcd/{contractorPart}/{codetype}/{code} method: get operationId: getLCDPolicyList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/{code}/physician-time method: get operationId: getPhysicianTime x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/qpp/{doc-id}/mips-download method: get operationId: qppMipsDocument x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/qpp/specialty-measures method: get operationId: getSpecialtyMeasures x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/qpp/measure-types method: get operationId: getMeasureTypes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/mpfs/status-codes method: get operationId: getStatusCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/mpfs/payment-indicators/{ruletype} method: get operationId: getPaymentIndicatorList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/mpfs/payment-indicator-status/{code} method: get operationId: fetchPaymentIndicatorAndStatusFees x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/mpfs/national-physician-relative-file method: get operationId: getRelativeFile x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/mpfs/global-days/{code} method: get operationId: getGlobalDays x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/mpfs/fee-schedule/{codetype}/{code}/{carrier}/{locality} method: get operationId: fetchMedicareFees x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/mpfs/fee-schedule/mpfs-reduction-groups/hcpcs/{code} method: get operationId: getHcpcsMedicareReductionGroups x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/mpfs/fee-schedule/mpfs-reduction-groups/cpt/{code} method: get operationId: getCptMedicareReductionGroups x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/cci/{market-type}/print method: get operationId: printCCIResults x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/cci/{market-type}/conflict-view method: get operationId: getMultiCodeConflictView x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/cci/{market-type}/code-view method: get operationId: getMultiCodeCodeView x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/physician/cci/{code}/{column-type} method: get operationId: getSingleCodeView x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/transmittal/{doc-id}/{doc-source-id}/transmittal-download method: get operationId: getCMSTransmittalDocument x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/transmittal/{code} method: get operationId: getCodeDetailCMSTransmittals x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/release-date/{id} method: get operationId: getReleaseDate x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/policy-lookup/{policy-type}/{policy-number} method: get operationId: fetchPolicyByIdValue x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/policy-list/ncd/{contractorPart} method: get operationId: getMedicareNCDPolicyList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/policy-list/lcd/{contractorPart} method: get operationId: getMedicareLCDPolicyList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/noc/pricing-list method: get operationId: getNocDrugPriceList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/medicare-contractors method: get operationId: fetchMedicareContractors x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/hcc/{hccType}/{hccCode}/diagnosis-codes method: get operationId: getDiagnosisCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/hcc/{hccType}/codes method: get operationId: getHCCCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/hcc/{codetype}/{code}/code method: get operationId: getHCCDiagnosisCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/fee-schedule/{fee-schedule-type} method: get operationId: getOutpatientFees x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/fee-schedule/{fee-schedule-type}/{state} method: get operationId: getOutpatientFees_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/fee-schedule/zip-code/{state} method: get operationId: getZipCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/fee-schedule/states/state-list method: get operationId: getStateList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/clinical-diagnostic method: get operationId: getClinicalDiagnostic x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/average-sales/sales-price method: get operationId: getAverageSales x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/ambulance/medicare-localities method: get operationId: getMedicareCarrierLocalities x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/cms/common/ambulance/ambulance-fee-schedule/{carrier}/{locality} method: get operationId: getAmbulanceFees x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{print-type}/print method: post operationId: printCodeSummary x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/coding/code/codetype method: post operationId: codeType x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/coding/i10_pcs/builder/{code} method: get operationId: searchCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/i10_pcs/builder/{code}/autocomplete method: get operationId: autoSuggest x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/i10_pcs/builder/ method: get operationId: fetchTabularList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/filter-dictionary-terms method: get operationId: dictTerms x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{modifier}/modifier-crosscodes method: get operationId: allModifierCodeList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{code}/{modifier-type}/{mod-code}/{prod-code}/modifier-download method: get operationId: printModCodesReport x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{code}/{modifier-type}/modifier-crosswalk method: get operationId: modifierCrosswalk x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{code}/validate method: get operationId: validateCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{code}/ama-section-guidelines-doc method: get operationId: fetchSectionGuidelinesPDF x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/mapping/i10_pcs method: get operationId: i9v3Toi10pcsMapping x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/mapping/i10_cm method: get operationId: i9v1Toi10cmMapping x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/color-codes/sex method: get operationId: fetchI9SexCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/image method: get operationId: imageLinkResource x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/history method: get operationId: codeHistory x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/detail method: get operationId: codeDetail x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/range method: get operationId: range x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{term}/root-operation-definition-term method: get operationId: rootOperationDefinitionTerm x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/root-operation-definition method: get operationId: rootOperationDefinition x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/mapping/i9v3 method: get operationId: i10pcsToi9v3Mapping x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/mapping/i9v1 method: get operationId: i10cmToi9v1Mapping x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/chapter-notes method: get operationId: chapterNotes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/color-codes/sex/{sex-code-type} method: get operationId: getSexColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/color-codes/post-acute-care/{pac-icon-type} method: get operationId: getPacColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/color-codes/other-color-codes/{other-color-code-type} method: get operationId: getOtherColorCodeType x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/color-codes/manifestation/{manifestation-type} method: get operationId: fetchManifestationCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/color-codes/age/{age-code-type} method: get operationId: getColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/code-notes method: get operationId: codeNotes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/range-notes method: get operationId: rangeNotes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{modifier}/modifier-crosscodes method: get operationId: modifierCodeList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/modifiers method: get operationId: modifiers x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/color-codes/reinstated method: get operationId: fetchReinstatedColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/lay-description method: get operationId: layDescription x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/{code}/section-notes method: get operationId: sectionNotes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/future-code/{futureCodeType} method: get operationId: getFutureCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codetype}/color-codes/{color-code-type} method: get operationId: fetchColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/{codeOrTerm}/image-search method: get operationId: searchImages x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/multi-codes/{code} method: get operationId: fetchMultiCodeDetails x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/modifier/{modifier}/validate method: get operationId: modifierValid x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/merck-manual/{code} method: get operationId: getMerckManuals x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/merck-manual/document/{doc-id} method: get operationId: getMerckManualPDF x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/image/{file} method: get operationId: imageResource x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i9v3/color-codes/or-color-codes method: get operationId: fetchI9V3ORCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i9v3/color-codes/coverage-color-codes method: get operationId: fetchI9V3MedicareCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i9v1/color-codes/post-acute-care/{pac-icon-type} method: get operationId: getPacColorCodes_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i9v1/color-codes/manifestation method: get operationId: fetchManifestationCodes_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i9v1/color-codes/cc method: get operationId: fetchI9V1CCCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i9v1/color-codes/age method: get operationId: fetchI9V1AgeCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i10_pcs/{code}/range method: get operationId: rangePcs x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i10_pcs/color-codes/{color-code-type} method: get operationId: fetchI10SepecificCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/i10_pcs/color-codes/sex/{color-code-type} method: get operationId: fetchI10PCSSexCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/hcpcs/color-codes/quantity method: get operationId: fetchQuantityColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/cpt/{code}/subsection-notes method: get operationId: getSubSectionNotes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/cpt/color-codes/unlisted method: get operationId: fetchUnlistedColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/cpt/color-codes/resequenced method: get operationId: fetchResequencedColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/cpt/color-codes/modifier-80 method: get operationId: fetchModifier80ColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/cpt/color-codes/add-on method: get operationId: fetchCptSpecificColorCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/cpt/color-codes/51-exempt method: get operationId: fetch51ExemptColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/cpt/color-codes/50-exempt method: get operationId: fetch50ExemptColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/book/{codeType} method: get operationId: fetchCodeBook x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/coding/code/book/i10_pcs method: get operationId: fetchPcsCodeBook x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/xc/v1/clinical/documents/search method: post operationId: documentSearch x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/xc/v1/clinical/document/retrieve method: post operationId: documentRetrieve x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /dentalnetwork/attachments/v1/CreateAttachment method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /dentalnetwork/attachments/v1/AddAttachment method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /dentalnetwork/attachments/v1/{attachmentId}/UpdateAttachmentFile/{attachmentFileId} method: put x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /dentalnetwork/attachments/v1/CommitAttachment/{attachmentId} method: patch x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /dentalnetwork/attachments/v1/GetAttachmentbyId/{attachmentId} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /dentalnetwork/attachments/v1/GetAttachmentList/{AttachmentId} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /dentalnetwork/attachments/v1/{attachmentId}/DeleteAttachmentFile/{attachmentFileId} method: delete x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /dentalnetwork/attachments/v1/GetAllParticipatingPayers method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /dentalnetwork/attachments/v1/IsParticipatingPayer method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /dentalnetwork/attachments/v1/GetPayerBusinessRules/me method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /apip/auth/v2/token method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /claim/precare/v1 method: post operationId: dentalClaimPrecheck x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /claim/precare/v1/healthcheck method: get operationId: dentalClaimPrecheckHealth x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /oihub/document/search/v1 method: post operationId: documentSearch x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/document/search/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /era/enrollment-submission method: post operationId: submitEraEnrollment x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /era/results/{payloadId} method: get operationId: getResults x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /oihub/eligibility/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /rcm/eligibility/v1 method: post operationId: postEligibility x-agentic-access: action-class: acting consequence: write subject: required scope: - create_txn audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /rcm/eligibility/v1/real-time/x12 method: post operationId: postEligibilityX12 x-agentic-access: action-class: acting consequence: write subject: required scope: - create_txn audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /rcm/eligibility/v1/transactions method: get x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_txn token: max-ttl: 3600 audit: none - path: /rcm/eligibility/v1/transactions/{id} method: get x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_txn token: max-ttl: 3600 audit: none - path: /rcm/eligibility/v1/coverage-discovery method: post operationId: postDiscovery x-agentic-access: action-class: acting consequence: write subject: required scope: - create_coveragediscovery audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /rcm/eligibility/v1/coverage-discovery method: get operationId: getAllDiscoveries x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_coveragediscovery token: max-ttl: 3600 audit: none - path: /rcm/eligibility/v1/coverage-discovery/x12 method: post operationId: postDiscoveryX12 x-agentic-access: action-class: acting consequence: write subject: required scope: - create_coveragediscovery audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /rcm/eligibility/v1/coverage-discovery/{id} method: get operationId: getDiscoveryById x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_coveragediscovery token: max-ttl: 3600 audit: none - path: /rcm/eligibility/v1/healthcheck method: get operationId: healthcheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /getFileStatus/{contextID}/{fileName} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /getListOfFileStatus/{contextID} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /getDocumentStatus/{contextID}/{fileName}/{claimNumber}/{claimType}/{recipientType} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /getListofDocStatus/{contextID}/{recipientType} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /getDocCounts/{contextID} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /v1/standards-based-messaging/services/payer-sheet-service/telecomFormat/fetch method: post operationId: getClaimFormat x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /v1/standards-based-messaging/services/payer-sheet-service/telecomFormat/save method: post operationId: saveClaimFormat x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /v1/standards-based-messaging/services/payer-sheet-service/telecomFormat/update method: patch operationId: updateClaimFormat x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /health/formatting-rules method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /search method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /{documentId} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /{traceId} method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /metadata method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /uploads method: post operationId: upload x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /claimstatus/v2/raw-x12/enhanced method: post operationId: rawX12Enhanced x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/claimstatus/v2/ method: post operationId: claimstatus x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/claimstatus/v2/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/claimstatus/v2/raw-x12 method: post operationId: rawX12 x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: / method: get operationId: list_reports_v2_reports_get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /healthcheck method: get operationId: health_check_v2_reports_healthcheck_get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /{filename} method: get operationId: get_single_report_v2_reports__filename__get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /{filename} method: delete operationId: delete_single_report_v2_reports__filename__delete x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /{filename}/277 method: get operationId: convert_report_277_v2_reports__filename__277_get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /{filename}/835 method: get operationId: convert_report_835_v2_reports__filename__835_get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/eligibility/v3/ method: post operationId: medicalEligibility x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/eligibility/v3/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/eligibility/v3/raw-x12 method: post operationId: rawX12 x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/institutionalclaims/v1/validation method: post operationId: validateClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/institutionalclaims/v1/submission method: post operationId: processClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/institutionalclaims/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/institutionalclaims/v1/raw-x12-submission method: post operationId: processClaim_1 x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/institutionalclaims/v1/raw-x12-validation method: post operationId: validateRawX12 x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/professionalclaims/v3/validation method: post operationId: validateClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/professionalclaims/v3/submission method: post operationId: processClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/professionalclaims/v3/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/professionalclaims/v3/raw-x12-submission method: post operationId: rawX12Submission x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /medicalnetwork/professionalclaims/v3/raw-x12-validation method: post operationId: rawX12Validation x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /om/placeOrder method: post operationId: placeOrder x-agentic-access: action-class: acting consequence: physical subject: required audience: null token: max-ttl: 300 exchange: true purpose-required: true escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /om/clientOrderDetails method: get operationId: getClientOrderDetails x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /om/clientOrderStatus method: get operationId: getClientOrderStatus x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /om/vendorOrderDetails method: get operationId: getVendorOrderDetails x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /om/vendorOrderStatus method: get operationId: getVendorOrderStatus x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /rm/package-transaction method: get operationId: trackPackage x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /om/v1/client-orders method: post operationId: v1CreateClientOrder x-agentic-access: action-class: acting consequence: physical subject: required audience: null token: max-ttl: 300 exchange: true purpose-required: true escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /om/v1/client-orders/{orderId} method: get operationId: v1GetClientOrderDetails x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /om/v1/client-orders/{orderId}/status method: get operationId: v1GetClientOrderStatus x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /om/v1/vendor-orders/{vendorOrderId} method: get operationId: v1GetVendorOrderDetails x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /om/v1/vendor-orders/{vendorOrderId}/status method: get operationId: v1GetVendorOrderStatus x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /v1/vendors/providerparticipation method: get operationId: findProviders x-agentic-access: action-class: connected consequence: read subject: optional scope: - scope-1 token: max-ttl: 3600 audit: none - path: /v3/ingest method: post operationId: ingestV3Payload x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/update method: put operationId: updateClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/update-claim-line method: put operationId: updateClaimLine x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/update-claim-diagnosis method: put operationId: updateClaimDiagnosis x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/submit/{compliance-type}/{scenario-number} method: post operationId: submitClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/reset method: post operationId: resetClaim x-agentic-access: action-class: acting consequence: safety-critical subject: required audience: null token: max-ttl: 120 exchange: true purpose-required: true proof-of-possession: true escalation: human-in-the-loop: required audit: required - path: /app/optum/facility/claim/create method: post operationId: createClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/create-claim-line method: post operationId: createClaimLine x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/create-claim-diagnosis method: post operationId: createClaimDiagnosis x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/facility/outpatient-claims/ method: post operationId: outpatientClaims x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/facility/federal-reg-add-b-history method: post operationId: getFederalRegAddBHistoryList x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/facility/drg-calculator/ method: post operationId: calculateDrg x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/common/physician/compliance/abn-form method: post operationId: getABNForm x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/common/cross-coder/list/hcpcs/{code}/i10_cm method: post operationId: getCrossCoderDataListI10CM x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/common/cross-coder/list/cpt/{code}/i10_cm method: post operationId: getCrossCoderDataListI10CMFromCPT x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/details/{compliance-type}/{scenario-number} method: get operationId: getClaim x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /app/optum/facility/claim/abn/{scenario-number} method: get operationId: getAbnCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/{docId}/mdc-optimizing-tips-download method: get operationId: getMDCOptimizingTipsDocument x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/{codetype}/cdg method: get operationId: fetchCDGList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/wage-index method: get operationId: getWageIndexList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/ub04/{codetype}/list method: get operationId: getUb04Codes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/revenue-procedure-cross-codes/{rev-code} method: get operationId: getProcCodesForRevenueCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/provider-lookup/{careSetting} method: get operationId: getLookupTableData x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/procedure-revenue-codes/{cpt-hcpcs-code} method: get operationId: getRevenueCodesForProcCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/opsi-codes method: get operationId: fetchOpsiCodesList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/opsi-codes/quarters/{code} method: get operationId: fetchOpsiCodeQuarterList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/opsi-codes/codes-associated-with-opsi/{opsi-code}/{opsi-code-id} method: get operationId: fetchOpsiCodesList_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/opps-cross-codes method: get operationId: getOppsCrossCodesList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/national-charge-data method: get operationId: getNationalChargeData x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/mdcOptimizingTips method: get operationId: getMDCOptimizingTips x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/hcpcs-drugs method: get operationId: getHCPCSDrugsList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/federal-register-addendum-b method: get operationId: getFederalRegAddBList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/drg-indicators method: get operationId: getDRGIndicatorList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/cpt-hcpcs-required-revenue method: get operationId: getCptHcpcsRequiredRevenueCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/cdg/{code}/document method: get operationId: fetchCDGPDF x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/facility/all-revenue-codes method: get operationId: getAllRevenueCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{contractor}/medicare-contractors method: get operationId: fetchMedicareContractors x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{code}/{modifier-type}/{mod-code}/{prod-code}/modifier-download method: get operationId: printModCodesReport x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{code}/{modifier-type}/modifier-crosswalk method: get operationId: modifierCrosswalk x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{code}/ndc method: get operationId: fetchNationalDrugCodeList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{codetype}/{code}/ccm method: get operationId: consumerInfo x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/source-rationale method: get operationId: getSourceRationale x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/medicare-carrier-localities method: get operationId: getMedicareCarrierLocalities x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/get-policy-url/{contractror-id}/{policy-id} method: get operationId: getPolicyURL x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/cross-coder/list/{codetype}/{code}/{tab} method: get operationId: getCrossCoderDataList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/compliance/place-of-service-codes method: get operationId: getPlaceOfServiceCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/code-specific-guidelines/{codetype}/article/{code}/{article-id} method: get operationId: fetchCodeSpecificArticle x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/code-specific-guidelines/{codetype}/article-list/{code} method: get operationId: fetchCodeSpecificArticlesList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /app/optum/facility/claim/delete/claim-line-edits method: delete operationId: deleteClaimLineEdits x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/delete-claim-line/{claim-line-id} method: delete operationId: deleteClaimLine x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/update method: put operationId: updateClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/update-claim-line method: put operationId: updateClaimLine x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/update-claim-diagnosis method: put operationId: updateClaimDiagnosis x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/submit/{compliance-type}/{scenario-number} method: post operationId: submitClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/reset method: post operationId: resetClaim x-agentic-access: action-class: acting consequence: safety-critical subject: required audience: null token: max-ttl: 120 exchange: true purpose-required: true proof-of-possession: true escalation: human-in-the-loop: required audit: required - path: /app/optum/facility/claim/create method: post operationId: createClaim x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/create-claim-line method: post operationId: createClaimLine x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/create-claim-diagnosis method: post operationId: createClaimDiagnosis x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/common/physician/compliance/abn-form method: post operationId: getABNForm x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/common/cross-coder/list/hcpcs/{code}/i10_cm method: post operationId: getCrossCoderDataListI10CM x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /api/optum/common/cross-coder/list/cpt/{code}/i10_cm method: post operationId: getCrossCoderDataListI10CMFromCPT x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/details/{compliance-type}/{scenario-number} method: get operationId: getClaim x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /app/optum/facility/claim/abn/{scenario-number} method: get operationId: getAbnCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/physician/{code}/coding-tips method: get operationId: getCodingTips x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/physician/{code}/annotations method: get operationId: getAnnotations x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/physician/mpfs/locality-fee/{codetype}/{code}/{carrier}/{locality} method: get operationId: fetchMedicareLocalityFees x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/physician/anesthesia-fee/{codetype}/{code} method: get operationId: fetchAnesthesiaFee x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{contractor}/medicare-contractors method: get operationId: fetchMedicareContractors x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{code}/{modifier-type}/{mod-code}/{prod-code}/modifier-download method: get operationId: printModCodesReport x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{code}/{modifier-type}/modifier-crosswalk method: get operationId: modifierCrosswalk x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{code}/ndc method: get operationId: fetchNationalDrugCodeList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/{codetype}/{code}/ccm method: get operationId: consumerInfo x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/source-rationale method: get operationId: getSourceRationale x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/medicare-carrier-localities method: get operationId: getMedicareCarrierLocalities x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/get-policy-url/{contractror-id}/{policy-id} method: get operationId: getPolicyURL x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/cross-coder/list/{codetype}/{code}/{tab} method: get operationId: getCrossCoderDataList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/compliance/place-of-service-codes method: get operationId: getPlaceOfServiceCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/code-specific-guidelines/{codetype}/article/{code}/{article-id} method: get operationId: fetchCodeSpecificArticle x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /api/optum/common/code-specific-guidelines/{codetype}/article-list/{code} method: get operationId: fetchCodeSpecificArticlesList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /app/optum/facility/claim/delete/claim-line-edits method: delete operationId: deleteClaimLineEdits x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /app/optum/facility/claim/delete-claim-line/{claim-line-id} method: delete operationId: deleteClaimLine x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /pre-service/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /eligibility/v1/pre-service/member method: post operationId: checkEligibility x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /codetype/{codetype}/{code}/anesbaseunit method: get operationId: getAnesBaseUnit x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/{facNonFac} method: get operationId: getColumnCci x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/cdi method: get operationId: getCDICodeLinks x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /documents/{docId} method: get operationId: getCDIPDF x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /icd10physdoc/{docId} method: get operationId: getCDIPDF_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /claims5x method: get operationId: getClaims x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /claims5x method: post operationId: process x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /codetype/{codetype}/{code}/codehistory method: get operationId: getCodehistory x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/properties method: get operationId: getProperty x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/cpt/{code}/color-codes method: get operationId: getColorCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/{crosscodetype} method: get operationId: getOPPSCrossCode x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/hcpcs/{code}/color-codes method: get operationId: getColorCodes_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/icd10cm/{code}/color-codes method: get operationId: getColorCodes_2 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/icd10pcs/{code}/color-codes method: get operationId: getColorCodes_3 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/icd9v1/{code}/color-codes method: get operationId: getColorCodes_4 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/images method: get operationId: getCodeImageLinks x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/images/{filename} method: get operationId: getImage x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/icd10cm/{code}/code-specific-guidelines method: get operationId: getCodeSpecificGuidelines x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/icd10pcs/{code}/code-specific-guidelines method: get operationId: getCodeSpecificGuidelines_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code} method: get operationId: getProperties x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype} method: get operationId: getCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype method: get operationId: getCodeTypes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/indexsearch/{terms} method: get operationId: indexSearchResults x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/range method: get operationId: findRange x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/termsearch/{terms} method: get operationId: termSearch x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/termsearchgroups/{terms} method: get operationId: termSearchGroups x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/coding-support method: get operationId: getDocuments x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /contractors method: get operationId: getContractors x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /contractors/{contractorNum}/policies method: get operationId: getPolicies x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /contractors/{contractorNum}/policy/{cmspolicyid} method: get operationId: getPolicyDetails x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /contractors/regions method: get operationId: getRegions x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /datafile/list method: get operationId: getDatafileList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /datafile/file/{fileReqName} method: get operationId: getFile x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /dictionary/coders/{startswith} method: get operationId: searchStedmans x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/all method: get operationId: getReveunueCodesList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/drg/{code}/properties method: get operationId: getProperty_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /hcctype/{hccType}/{hccCode} method: get operationId: getDiagList x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/hcc method: get operationId: getI9I10HccData x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /hcctype/{hccType} method: get operationId: getHccData x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /hcctype method: get operationId: getHCCTypes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/instructional-notes method: get operationId: getInstructions x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/instructions method: get operationId: getInstructions_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/icd10mapping method: get operationId: getI10Mapping x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/icd9mapping method: get operationId: getI9Mapping x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/medicarepolicy/{policytype}{contractortype} method: get operationId: getContractorLinks x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/medicarepolicy/{policytype}/{contractortype}/{contractornum} method: get operationId: getPolicies_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/medicarepolicy method: get operationId: getPolicyLinks x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/allmodifiers method: get operationId: getModifiers x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /modifier-51-exempt method: get operationId: getOptumAmaMod51Exempt x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/modifier/{modifier} method: get operationId: getProperty_2 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/modifier/{code}/properties method: get operationId: getProperty_3 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/modifiers method: get operationId: getModifiers_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/mpfs method: get operationId: getCarriers x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/mpfs/{carrier-locality}/non-facility method: get operationId: getFee x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/mpfs/global-info method: get operationId: getGlobal x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/mpfs/{locality} method: get operationId: getMpfsLinks x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /cci-check/{facNonFac}/{codes} method: get operationId: getMultiCCIData x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/annotations method: get operationId: getAnnotations x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/includesexcludesnotes method: get operationId: getIncludesExcludesNotes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/sectionnotes method: get operationId: getSectionNotes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/optum-specialty-articles method: get operationId: getCodes_1 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/physician-docs method: get operationId: getPhysicianDocs x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/revenue/{code}/properties method: get operationId: getProperty_4 x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/revenuecodes method: get operationId: getRevenueCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /codetype/{codetype}/{code}/{xwalkcodetype} method: get operationId: getprocCodes x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /application.wadl/{path} method: get operationId: getExternalGrammar x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /application.wadl method: get operationId: getWadl x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /oihub/patient/benefit/check/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /medicalnetwork/payerlist/v1/healthcheck method: get operationId: getPayerListHealthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/payerlist/v1/payers method: get operationId: getPayers x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/payerlist/v1/fields method: get operationId: getPayerListFields x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/payerlist/v1/payers/export method: get operationId: exportPayers x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /medicalnetwork/payerlist/v1/outages method: get operationId: getOutages x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /payments/pes-payer-enrollments/v1 method: get operationId: get-pes-enrollments x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /payments/pes-payer-enrollments/v1 method: patch operationId: patch-pes-payer-enrollments-v1 x-agentic-access: action-class: acting consequence: physical subject: required audience: null token: max-ttl: 300 exchange: true purpose-required: true escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /payments/pes-payer-enrollments/v1/enrollment-status method: get operationId: get-pes-enrollments-enrollment-status x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /determination/x12 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /determination method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /inquiry/x12 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /inquiry method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /submission/x12 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /submission method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /noa/x12 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /noa method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /authorization/x12 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /authorization method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /healthcheck method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /prometheus/jobsubmission/v1 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /prometheus/checkjob/v1 method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /attachments/documents method: post operationId: createAttachments x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /attachments/documents/search method: post operationId: searchAttachments x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /attachments/documents/image-intelligence method: post operationId: createAttachmentsImageIntel x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/dental/claim/inquiry/v1 method: post operationId: claimStatus x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/dental/claim/inquiry/v1/healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /py/oihub/claim/dnt/submit/v1/graphql method: post operationId: dntClaimActions x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /py/oihub/claim/dnt/submit/v1/health-check method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /oihub/dental/eligibility/preservice/v1 method: post operationId: checkEligibility x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/dental/eligibility/preservice/v1/healthcheck method: get operationId: get_oihub_dental_eligibility_preservice_v1_healthcheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /oihub/dnt/enh/eligibility/preservice/v1/healthcheck method: get operationId: healthCheckEnhancedDentalEligibility x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /oihub/dnt/enh/eligibility/preservice/v1 method: post operationId: checkEnhancedEligibility x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirpriorauth/v1/health-check method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/Questionnaire/$next-question method: post operationId: getNextQuestion x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/Claim/$submit-attachment method: post operationId: submitAttachment x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/document-reference method: get operationId: getDocumentReference x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/Claim/$inquire method: post operationId: inquireClaim x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/Questionnaire/$questionnaire-package method: post operationId: getQuestionnairePackage x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirpriorauth/v1/cdsHooksServer/{payerId}/{lob}/api/cds-services/crd-order-sign method: post operationId: orderSign x-agentic-access: action-class: acting consequence: physical subject: required scope: - read_healthcheck audience: null token: max-ttl: 300 exchange: true purpose-required: true escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/Claim/$submit method: post operationId: submitClaim x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirpriorauth/v1/cdsHooksServer/{payerId}/{lob}/api/cds-services method: get operationId: getDiscovery x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/operation-definition/{operation} method: get operationId: getOperationDefinition x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/pas/metadata method: get operationId: getPasCapabilityStatement x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/fhirpriorauth/v1/fhirpa/R4/{payerId}/{lob}/dtr/metadata method: get operationId: getDtrCapabilityStatement x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/fhirprovideraccess/v1/R4/{payerId}/{lob}/Group/$bulk-member-match method: post operationId: bulkMemberMatch x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirprovideraccess/v1/R4/{payerId}/{lob}/Group/{groupId}/$davinci-data-export method: post operationId: davinciDataExport x-agentic-access: action-class: acting consequence: write subject: required scope: - read_healthcheck audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /oihub/fhirprovideraccess/v1/R4/{payerId}/{lob}/$bulk-member-match-status/{jobId} method: get operationId: bulkMemberMatchStatus x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/fhirprovideraccess/v1/R4/{payerId}/{lob}/download/Group/{fileName}/$davinci-data-export method: get operationId: downloadDaVinciExportFile x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /oihub/fhirprovideraccess/v1/health-check method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional scope: - read_healthcheck token: max-ttl: 3600 audit: none - path: /apip/auth/v2/token method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /apip/auth/sntl/v1/token method: post x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /healthcheck method: get operationId: healthCheck x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /pharmacy-claims method: post operationId: sendMessage x-agentic-access: action-class: acting consequence: safety-critical subject: required scope: - read_healthcheck audience: null token: max-ttl: 120 exchange: true purpose-required: true proof-of-possession: true escalation: human-in-the-loop: required audit: required - path: /health/telecom-formatter method: get x-agentic-access: action-class: connected consequence: read subject: optional token: max-ttl: 3600 audit: none - path: /v1/formatDetails method: post operationId: formatDetails x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required - path: /v1/telecomFormatResponse method: post operationId: formatIncomingData x-agentic-access: action-class: acting consequence: write subject: required audience: null token: max-ttl: 900 escalation: human-in-the-loop: conditional triggers: - abnormal - high-value audit: required