Fill Prior Authorization

import requests
import json

url = 'https://api.simplex.sh/fill_pa'
headers = {
    'X-API-Key': 'your_api_key_here'
}

patient = {
    'name': 'Michael Chen',
    'dob': '1985-03-14',
    'id': 'WLR482913057',
    'address': '4200 Cedar Springs Rd',
    'city': 'Dallas',
    'state': 'TX',
    'zip': '75201',
    'home_phone': '214-555-0173',
    'gender': 'M'
}
prescriber = {
    'name': 'Ravi Patel',
    'npi': '1528074691',
    'address': '8700 Beverly Blvd Ste 310',
    'city': 'Los Angeles',
    'state': 'CA',
    'zip': '90048',
    'office_phone': '310-555-0142',
    'fax': '310-555-0143',
    'contact_person': 'Lisa Nguyen'
}
drug_info = {
    'medication_strength': 'Ozempic 1 mg/dose',
    'directions_frequency': 'Inject 1 mg subcutaneously once weekly',
    'expected_length_therapy': '12 months',
    'qty': 2,
    'day_supply': 28,
    'icd10_diagnosis': 'E11.9',
    'route_of_administration': 'Subcutaneous',
    'expedited_urgent_review': False
}
clinical_questions = [
    {'question_id': 'cont_therapy_q1', 'answer': 'Yes'},
    {'question_id': 'cont_therapy_q3', 'answer': '4 months'},
    {'question_id': 'fda_approved_indication', 'answer': 'Yes'}
]

data = {
    'bin': '003858',
    'pcn': 'A4',
    'group': 'RXINN01',
    'member_id': '4XS00000523646',
    'state': 'CA',
    'drug_name': 'wegovy',
    'patient': json.dumps(patient),
    'prescriber': json.dumps(prescriber),
    'drug_info': json.dumps(drug_info),
    'clinical_questions': json.dumps(clinical_questions)
}
files = [
    ('documents', ('chart_notes.pdf', open('chart_notes.pdf', 'rb'), 'application/pdf')),
    ('documents', ('labs.pdf', open('labs.pdf', 'rb'), 'application/pdf'))
]

response = requests.post(url, headers=headers, data=data, files=files)
result = response.json()
print(f"Form ID: {result['form_id']}")
print(f"Preview PDF: {result['signed_url']}")

{
  "succeeded": true,
  "form_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "signed_url": "<string>",
  "expires_at": "2023-11-07T05:31:56Z"
}