Enrollment Requests

Enrollment Requests (FHIR EnrollmentRequest) initiate the process of enrolling a patient in an insurance plan. They link the candidate patient to an insurer, provider, and coverage plan.

Submit an Enrollment Request

const { data: enrollment } = await clinik.enrollmentRequests.create({
  candidateId: 'pt_abc123',
  insurerId: 'org_bluecross456',
  providerId: 'Practitioner/prac_dr789',
  coverageId: 'cov_gold_plan001',
});

Minimal Enrollment Request

Only the candidate (patient) is required:

const { data } = await clinik.enrollmentRequests.create({
  candidateId: 'pt_newpatient456',
});

Draft Enrollment

Create a draft enrollment for later submission:

const { data } = await clinik.enrollmentRequests.create({
  status: 'draft',
  candidateId: 'pt_abc123',
  insurerId: 'org_aetna789',
  providerId: 'Organization/org_clinic001',
});

Cancel an Enrollment Request

const { data } = await clinik.enrollmentRequests.update('enr_req_abc123', {
  status: 'cancelled',
});

Search Enrollment Requests

// All enrollment requests for a patient
const { data } = await clinik.enrollmentRequests.search({
  candidateId: 'pt_abc123',
});

// Filter by status
const { data: active } = await clinik.enrollmentRequests.search({
  status: 'active',
});

// Filter by insurer
const { data: byInsurer } = await clinik.enrollmentRequests.search({
  insurerId: 'org_bluecross456',
});