Medecision API Overview
API Overview
Medecision offers a suite of powerful APIs for real-time healthcare operations, enabling seamless integration into client systems for Care Management, Utilization Management, Clinical Intelligence, Digital Outreach, and more. These APIs are designed for both system-to-system integration and interactive use via the Medecision Developer Portal.
API Categories
API Group | Description |
Prior Authorization (PA) | Enables real-time guided intake, auto-decisioning, and request status queries. Built on FHIR and RESTful patterns. |
Member Services | Access to member demographics, enrollment, program enrollment, and interaction history. |
Task and Program APIs | Create, update, and query member programs, tasks, and follow-up requirements. |
Clinical Assessment APIs | Retrieve and complete FHIR-based assessments (questionnaires). Supports branching logic and scoring. |
Analytics & Event APIs | Push and pull event streams, utilization data, and engagement metrics. Includes ADT and Claims feeds. |