POST a Payer Enrollment Service Request

Create a new payer enrollment service request

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Body Params
string
required
string
required
length ≥ 1
uuid | null
string
enum
required
  • AK - Ak - Alaska
  • AL - Al - Alabama
  • AR - Ar - Arkansas
  • AZ - Az - Arizona
  • CA - Ca - California
  • CO - Co - Colorado
  • CT - Ct - Connecticut
  • DE - De - Delaware
  • FL - Fl - Florida
  • GA - Ga - Georgia
  • HI - Hi - Hawaii
  • IA - Ia - Iowa
  • ID - Id - Idaho
  • IL - Il - Illinois
  • IN - In - Indiana
  • KS - Ks - Kansas
  • KY - Ky - Kentucky
  • LA - La - Louisiana
  • MA - Ma - Massachusetts
  • MD - Md - Maryland
  • ME - Me - Maine
  • MI - Mi - Michigan
  • MN - Mn - Minnesota
  • MO - Mo - Missouri
  • MS - Ms - Mississippi
  • MT - Mt - Montana
  • NC - Nc - North Carolina
  • ND - Nd - North Dakota
  • NE - Ne - Nebraska
  • NH - Nh - New Hampshire
  • NJ - Nj - New Jersey
  • NM - Nm - New Mexico
  • NV - Nv - Nevada
  • NY - Ny - New York
  • OH - Oh - Ohio
  • OK - Ok - Oklahoma
  • OR - Or - Oregon
  • PA - Pa - Pennsylvania
  • RI - Ri - Rhode Island
  • SC - Sc - South Carolina
  • SD - Sd - South Dakota
  • TN - Tn - Tennessee
  • TX - Tx - Texas
  • UT - Ut - Utah
  • VA - Va - Virginia
  • VT - Vt - Vermont
  • WA - Wa - Washington
  • WI - Wi - Wisconsin
  • WV - Wv - West Virginia
  • WY - Wy - Wyoming
  • DC - Dc - District Of Columbia
  • GU - Gu - Guam
  • PR - Pr - Puerto Rico
  • VI - Vi - Us Virgin Islands
  • NA - National
string
enum
  • requested - Requested
  • intake_prep - Intake Prep
  • ready_for_intake - Ready For Intake
  • intake - Intake Assigned
  • intake_in_progress - Intake In-Progress
  • intake_pending_provider - Intake Pending Provider
  • intake_pending_admin - Intake Pending Admin
  • intake_over_21_days - Intake Over 21 Days
  • intake_on_hold - Intake On Hold
  • intake_complete - Intake Complete
  • assigned - Assigned
  • sent_request_for_enrollment - Sent Request For Enrollment
  • backlog - Queued - Request Limit Reached
  • on_hold - On Hold
  • external_block - External Block
  • task_over_21_days - Task Over 21 Days
  • pending_contract - Pending Contract
  • pending_dependencies - Pending Dependencies
  • dependencies_met - Dependencies Met
  • application_qc_required - Application Qc Required
  • application_qc_returned - Application Qc Returned
  • application_qc_completed - Application Qc Completed
  • pending_customer_response - Client Input Requested
  • provider_input_requested - Provider Input Requested
  • ready_for_medallion_review - Ready For Medallion Review
  • client_tasks_completed_status - Client Tasks Completed
  • application_submitted - Application Submitted
  • roster_submitted - Roster Submitted
  • ready_for_medallion_review_post_submission - Ready For Medallion Review
  • follow_up_in_progress - Following Up On Submitted Application
  • application_resubmitted - Application Resubmitted
  • active - Completed
  • enrollment_denied - Request Denied
  • enrollment_stopped - Request Stopped
  • panel_closed - Panel Closed
string | null
enum
  • duplicate_request - Duplicate Request
  • client_request - Client Request
  • client_is_not_pursuing_a_group_contract - Client Is Not Pursuing A Group Contract
  • provider_has_been_terminated_from_group - Provider Terminated From Group
  • provider_deactivated - Provider Deactivated
  • provider_is_a_supervisor - Provider Is A Supervisor
  • prerequisite_enrollment_stopped - Prerequisite Enrollment Stopped
  • prerequisite_enrollment_denied - Prerequisite Enrollment Denied
  • prerequisite_panel_closed - Prerequisite Panel Closed
  • enrollment_stopped_other - Other (Enrollment Stopped)
  • outside_of_time_and_distance_standards - Outside Of Time And Distance Standards
  • credentials_not_up_to_standards - Credentials Not Up To Standards
  • enrollment_denied_other - Other (Enrollment Denied)
  • application_not_received - Application Not Received
  • error_on_application - Error On Application
  • application_timeout - Application Timeout
  • unspecified_requirements - Previously Unspecified Payer Requirements
  • internal_review - Internal Review
  • payer_requested_info - Payer Requested Info
  • corrections_needed - Corrections Needed
  • client_tasks_completed - Client Tasks Completed
  • internal_review_post_submission - Internal Review
  • payer_requested_info_post_submission - Payer Requested Info
  • corrections_needed_post_submission - Corrections Needed
  • portal_access_requested - Portal Access Requested
  • domain_access_requested - Domain Access Requested
  • blocked_by_another_request - Blocked By Another Request
  • minimum_requests_needed_for_roster_export - Minimum Requests Needed For Roster Export
  • roster_submission_date_in_the_future - Roster Submission Date In The Future
  • intake_on_hold_pending_caqh - Pending Caqh
  • intake_on_hold_client_hold - Client Hold
  • intake_on_hold_provider_on_leave - Provider On Leave
  • intake_on_hold_other - Other
uuid | null
boolean
required
string
length ≤ 64
deprecated

tracking_number is deprecated as of version 2026-05-13 and will be removed on 2026-08-30

tracking_numbers
array of strings
tracking_numbers
string | null
uuid | null
required
practices
array of objects
practices
lines_of_business
array of objects
lines_of_business
uuid | null
boolean | null

Whether this enrollment should appear in the payer’s public provider directory. If neither this nor payer_directory_varying_text is set, defaults to True. Can only be set when the request is created.

string | null

Note explaining how show_in_payer_directory varies by location or line of business. Leave show_in_payer_directory unset and provide this text when the answer varies. Can only be set when the request is created.

date | null

The effective date of this enrollment. If not set, defaults to the app submission effective date. Can only be set when the request is created.

boolean | null

If True, the application submission date is used as the effective date instead of desired_effective_date. Defaults to True when no desired_effective_date is provided. Can only be set when the request is created.

Headers
string
enum
Defaults to application/json

Generated from available request content types

Allowed:
Responses

400

Bad request

401

Unauthorized

Language
Credentials
Header
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Response
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application/json