Welcome to the Refactor API
The Refactor API lets you programmatically trigger and retrieve results from AI-powered payer phone calls. Import claims, verify coverage, follow up on claim status, resolve denials, and check authorization status — all through a simple REST API.Authentication
All API requests require an API key passed via thex-api-key header, along with a tenant_id query parameter.
Key Parameters
Call Status
Every endpoint that returns call information contains astatus field indicating the call result:
Data Import
Import Claims
Submit claims via JSON and automatically schedule payer calls.
Pre-Service
Verify Coverage
Confirm active coverage, plan type, and benefit details.
Verify Auth Requirements
Check whether prior authorization is required for a procedure.
Check Auth Status
Check the status of submitted prior authorization requests.
Claim Follow-Up
Check Claim Status
Get real-time updates on claim adjudication and payment details.
Check Appeal Status
Follow up on submitted appeals and get expected decision timelines.
Denial Management
Get Denial Clarification
Get denial details and recommended actions for a visit.