Pa Check API

Prior-authorization determination for a CPT/HCPCS code + US payer. Rules engine covering UHC, Aetna, Cigna, Florida Blue, Humana, Medicare, Medicare Advantage across 13 high-volume codes (imaging, surgery, sleep, cardiology, pain mgmt, wound care, specialty drugs). Returns requirement, criteria, documentation checklist, payer portal + turnaround. Codes outside the ruleset return coverage:false with guidance (no charge avoidance — check GET / for the covered list first). (AutomatedRCM agent: PAT)