{"schemaVersion":"1.0","sourceCommit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca","sourceVisibility":"private","article":{"id":"api-client-mansoq-web-src-pages-facility-settings-rcm-coverage-coverageapi-ts","title":"Coverage Api client API reference · mansoq-web","summary":"33 client route/call declarations with path parameters, named payload/response types and source references. Exact server acceptance and permissions require the matched backend contract.","module":"RCM & insurance","roles":["IT administrator","Developer","Integration engineer"],"facilities":["All configured facility types"],"kind":"reference","minutes":32,"prerequisites":["Use the API contract from the installed deployment and an authorized synthetic test environment.","Confirm facility/organization scope, action permissions and optional app enablement.","This reference is static source evidence; complete payload, authorization, failure and end-to-end review remains recorded as pending."],"steps":[],"sections":[{"title":"Client contract scope","body":"These 33 declarations come from **repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts**. Client types and noAuth flags describe the caller; they do not authorize a server action. Dynamic paths and missing backend matches are retained as review work, not repaired into invented endpoints."},{"title":"Operation map","body":"| Client method | HTTP method | Path pattern | Resolution |\n| --- | --- | --- | --- |\n| default.listOrganizations | GET | `/api/v1/facility/{facilityId}/rcm/organizations/` | literal |\n| default.listPrograms | GET | `/api/v1/facility/{facilityId}/rcm/programs/` | literal |\n| default.listProducts | GET | `/api/v1/facility/{facilityId}/rcm/products/` | literal |\n| default.listPolicies | GET | `/api/v1/facility/{facilityId}/rcm/policies/` | literal |\n| default.retrievePolicy | GET | `/api/v1/facility/{facilityId}/rcm/policies/{policyId}/` | literal |\n| default.createPolicy | POST | `/api/v1/facility/{facilityId}/rcm/policies/` | literal |\n| default.updatePolicy | PATCH | `/api/v1/facility/{facilityId}/rcm/policies/{policyId}/` | literal |\n| default.policyReadiness | GET | `/api/v1/facility/{facilityId}/rcm/policies/{policyId}/readiness/` | literal |\n| default.verifyPolicySchedule | POST | `/api/v1/facility/{facilityId}/rcm/policies/{policyId}/verify-schedule/` | literal |\n| default.importPolicyMembers | POST | `/api/v1/facility/{facilityId}/rcm/policies/{policyId}/import-members/` | literal |\n| default.renewPolicy | POST | `/api/v1/facility/{facilityId}/rcm/policies/{policyId}/renew/` | literal |\n| default.endorsePolicy | POST | `/api/v1/facility/{facilityId}/rcm/policies/{policyId}/endorse/` | literal |\n| default.cancelPolicy | POST | `/api/v1/facility/{facilityId}/rcm/policies/{policyId}/cancel/` | literal |\n| default.listPolicyVersions | GET | `/api/v1/facility/{facilityId}/rcm/policy_versions/` | literal |\n| default.createPolicyVersion | POST | `/api/v1/facility/{facilityId}/rcm/policy_versions/` | literal |\n| default.listClasses | GET | `/api/v1/facility/{facilityId}/rcm/classes/` | literal |\n| default.retrieveClass | GET | `/api/v1/facility/{facilityId}/rcm/classes/{classId}/` | literal |\n| default.classReadiness | GET | `/api/v1/facility/{facilityId}/rcm/classes/{classId}/readiness/` | literal |\n| default.compareClass | GET | `/api/v1/facility/{facilityId}/rcm/classes/{classId}/compare/` | literal |\n| default.resolveClassValue | GET | `/api/v1/facility/{facilityId}/rcm/classes/{classId}/resolved-value/` | literal |\n| default.overrideClassValue | POST | `/api/v1/facility/{facilityId}/rcm/classes/{classId}/override/` | literal |\n| default.simulateClass | POST | `/api/v1/facility/{facilityId}/rcm/classes/{classId}/simulate/` | literal |\n| default.listBenefitOverrides | GET | `/api/v1/facility/{facilityId}/rcm/benefit_overrides/` | literal |\n| default.listClassNetworkAssignments | GET | `/api/v1/facility/{facilityId}/rcm/class_network_assignments/` | literal |\n| default.listCoverages | GET | `/api/v1/facility/{facilityId}/rcm/enrollment/` | literal |\n| default.retrieveCoverage | GET | `/api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/` | literal |\n| default.discoveryLadder | GET | `/api/v1/facility/{facilityId}/rcm/enrollment/discovery-ladder/` | literal |\n| default.discoverCoverage | POST | `/api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/discover/` | literal |\n| default.verifyCoverage | POST | `/api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/verify/` | literal |\n| default.coverageEligibility | GET | `/api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/eligibility/` | literal |\n| default.resolveCoverageConflict | POST | `/api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/resolve-conflict/` | literal |\n| default.endorseCoverage | POST | `/api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/endorse/` | literal |\n| default.coverageEstimateRestriction | GET | `/api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/estimate-restriction/` | literal |"},{"title":"default.listOrganizations","body":"**GET /api/v1/facility/{facilityId}/rcm/organizations/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<OrganizationOption>`. client-side declaration; not proof of accepted server payload.\n\n**PaginatedResponse declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| count | number | true | — |\n| results | TItem[] | true | — |\n\nMinimal read shape of a SET-01 organization, for pickers on these screens.\n\n**OrganizationOption declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| internal_code | string | true | — |\n| legal_name | string | true | — |\n| legal_name_en | string | true | — |\n| legal_name_ar | string | true | — |\n| payer_class | string | true | — |\n| lifecycle | LifecycleBlock | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.listPrograms","body":"**GET /api/v1/facility/{facilityId}/rcm/programs/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<InsuranceProgram>`. client-side declaration; not proof of accepted server payload.\n\n**InsuranceProgram declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| code | string | true | — |\n| name_ar | Stated | true | — |\n| name_en | string | true | — |\n| eligible_population | Record<string, unknown> | true | — |\n| eligibility_obligation_trigger | Stated | true | — |\n| coverage_start_trigger | Stated | true | — |\n| baseline_schedule_ref | string | true | — |\n| entitlement_cap | object | true | — |\n| instrument | object | true | — |\n| lifecycle | LifecycleBlock | true | — |\n| evidence | EvidenceBlock | true | — |\n| gates | GateBlock | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.listProducts","body":"**GET /api/v1/facility/{facilityId}/rcm/products/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<InsuranceProduct>`. client-side declaration; not proof of accepted server payload.\n\n**InsuranceProduct declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| insurer_org | RowRef \\| null | true | — |\n| program | RowRef \\| null | true | — |\n| product_code | string | true | — |\n| product_name | string | true | — |\n| jurisdiction | string | true | — |\n| marketing_tier | object | true | Display only. `engine_readable` is always false — a brand never decides cover. |\n| regulator_product_code | string | true | — |\n| coverage_template | RowRef \\| null | true | — |\n| lifecycle | LifecycleBlock | true | — |\n| evidence | EvidenceBlock | true | — |\n| gates | GateBlock | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.listPolicies","body":"**GET /api/v1/facility/{facilityId}/rcm/policies/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<IssuedPolicy>`. client-side declaration; not proof of accepted server payload.\n\n**IssuedPolicy declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| insurer_org | RowRef \\| null | true | — |\n| policyholder | object | true | — |\n| program | RowRef \\| null | true | — |\n| product | object | true | The product FK is legitimately nullable. A hospital routinely holds a policy number and a member card without the insurer's catalogue, and `mapping_is_pending` is what keeps that visible as pending rather than as \"no product\". |\n| external_policy_number | string | true | Text, and it stays text: leading zeros are significant. |\n| external_policy_system | string | true | — |\n| issuance_evidence | Record<string, unknown> | true | — |\n| currency | string | true | — |\n| verification_source | string | true | — |\n| emergency | object | true | — |\n| lifecycle | LifecycleBlock | true | — |\n| evidence | EvidenceBlock | true | — |\n| gates | GateBlock | true | — |\n| versions | PolicyVersion[] | false | — |\n| classes | BenefitClass[] | false | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.retrievePolicy","body":"**GET /api/v1/facility/{facilityId}/rcm/policies/{policyId}/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `policyId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `IssuedPolicy`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.createPolicy","body":"**POST /api/v1/facility/{facilityId}/rcm/policies/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `IssuedPolicy`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.updatePolicy","body":"**PATCH /api/v1/facility/{facilityId}/rcm/policies/{policyId}/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `policyId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `IssuedPolicy`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.policyReadiness","body":"**GET /api/v1/facility/{facilityId}/rcm/policies/{policyId}/readiness/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `policyId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `ReadinessBlock`. client-side declaration; not proof of accepted server payload.\n\n**ReadinessBlock declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| subject | string | true | — |\n| target_status | ConfigStatusName | true | — |\n| is_ready | boolean | true | — |\n| checked_overlap | boolean | true | — |\n| open_gates | string[] | true | — |\n| refusals | Refusal[] | true | — |\n| screen_refusals | Refusal[] | true | — |\n| gates | GateBlock | true | — |\n| evidence | EvidenceBlock | true | — |\n| lock_token | string | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.verifyPolicySchedule","body":"**POST /api/v1/facility/{facilityId}/rcm/policies/{policyId}/verify-schedule/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `policyId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `object`. client-side declaration; not proof of accepted server payload.\n\n**default.verifyPolicySchedule.request declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| advance | boolean | false | — |\n| lock_token | string | false | — |\n| change_reason | string | false | — |\n\n**response type:** `ScheduleVerdict`. client-side declaration; not proof of accepted server payload.\n\n**ScheduleVerdict declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| verified | boolean | true | — |\n| refusals | Refusal[] | true | — |\n| advisories | Refusal[] | true | — |\n| provisional_capture_permitted | boolean | true | — |\n| note | string | true | — |\n| policy | IssuedPolicy | false | — |\n| errors | Array<object> | false | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.importPolicyMembers","body":"**POST /api/v1/facility/{facilityId}/rcm/policies/{policyId}/import-members/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `policyId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `object`. client-side declaration; not proof of accepted server payload.\n\n**default.importPolicyMembers.request declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| members | Array<Record<string, unknown>> | true | — |\n\n**response type:** `MemberImportReport`. client-side declaration; not proof of accepted server payload.\n\n**MemberImportReport declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| policy | RowRef | true | — |\n| rows_read | number | true | — |\n| rows_resolvable | number | true | — |\n| row_errors | Array<object> | true | — |\n| publishable | boolean | true | — |\n| posted_nothing | boolean | true | — |\n| member_rows_owned_by | string | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.renewPolicy","body":"**POST /api/v1/facility/{facilityId}/rcm/policies/{policyId}/renew/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `policyId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `PolicyVersion`. client-side declaration; not proof of accepted server payload.\n\n**PolicyVersion declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| policy | RowRef | true | — |\n| version | number | true | — |\n| change_kind | PolicyChangeKind | true | — |\n| change_reason | string | true | — |\n| effective_from | string \\| null | true | When the change takes effect. Never merged with `received_date`. |\n| effective_to | string \\| null | true | — |\n| effective_to_is_inclusive | boolean | true | — |\n| received_date | string \\| null | true | When the provider received it. Receipt is not commencement (ch. 1, ch. 8). |\n| document_reference | string | true | — |\n| content_sha256 | string | true | — |\n| predecessor | string \\| null | true | — |\n| superseded_at | string \\| null | true | — |\n| reprocessing_scope | Record<string, unknown> | true | — |\n| accumulator_transition | Stated | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.endorsePolicy","body":"**POST /api/v1/facility/{facilityId}/rcm/policies/{policyId}/endorse/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `policyId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `PolicyVersion`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.cancelPolicy","body":"**POST /api/v1/facility/{facilityId}/rcm/policies/{policyId}/cancel/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `policyId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `object`. client-side declaration; not proof of accepted server payload.\n\n**default.cancelPolicy.response declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| version | PolicyVersion | true | — |\n| policy | IssuedPolicy | true | — |\n| note | string | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.listPolicyVersions","body":"**GET /api/v1/facility/{facilityId}/rcm/policy_versions/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<PolicyVersion>`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.createPolicyVersion","body":"Issue, reinstatement and retroactive correction have no dedicated policy\naction; they are recorded here with an explicit `change_kind`. Renewal,\nendorsement and cancellation go through their own endpoints because they\ncarry side effects the child route does not.\n\n**POST /api/v1/facility/{facilityId}/rcm/policy_versions/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `PolicyVersion`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.listClasses","body":"**GET /api/v1/facility/{facilityId}/rcm/classes/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<BenefitClass>`. client-side declaration; not proof of accepted server payload.\n\n**BenefitClass declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| insurer_class_code | string | true | The payer's opaque code. Everything resolves by this, never by label. |\n| display_label | object | true | — |\n| product | RowRef \\| null | true | — |\n| policy | RowRef \\| null | true | — |\n| tier_mapping | Stated | true | — |\n| tier_mapping_evidence | SourceDocumentRef \\| null | true | — |\n| source_schedule_ref | string | true | — |\n| currency | string | true | — |\n| accommodation | object | true | — |\n| network | RowRef \\| null | true | — |\n| benefit_template | RowRef \\| null | true | — |\n| direct_billing_permitted | TriState | true | — |\n| emergency | object | true | — |\n| lifecycle | LifecycleBlock | true | — |\n| evidence | EvidenceBlock | true | — |\n| gates | GateBlock | true | — |\n| inheritance | object | false | — |\n| network_assignments | ClassNetworkAssignment[] | false | — |\n| overrides | BenefitOverride[] | false | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.retrieveClass","body":"**GET /api/v1/facility/{facilityId}/rcm/classes/{classId}/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `classId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `BenefitClass`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.classReadiness","body":"**GET /api/v1/facility/{facilityId}/rcm/classes/{classId}/readiness/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `classId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `ReadinessBlock`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.compareClass","body":"**GET /api/v1/facility/{facilityId}/rcm/classes/{classId}/compare/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `classId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `ClassComparison`. client-side declaration; not proof of accepted server payload.\n\n**ClassComparison declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| class | BenefitClass | true | — |\n| parent | BenefitClass \\| null | true | — |\n| dimensions | string[] | true | — |\n| cells | ComparisonCell[] | true | — |\n| networks | Array<object> | false | — |\n| exclusions | Array<object> | false | — |\n| controlling_documents | Array<object> | false | — |\n| unresolved_conflicts | Array<object> | true | — |\n| activation_blocked_by_conflicts | boolean | false | — |\n| note | string | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.resolveClassValue","body":"**GET /api/v1/facility/{facilityId}/rcm/classes/{classId}/resolved-value/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `classId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `ResolvedValue`. client-side declaration; not proof of accepted server payload.\n\n**ResolvedValue declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| class | RowRef | true | — |\n| field_path | string | true | — |\n| as_of | string | true | — |\n| resolved | boolean | true | — |\n| value | unknown | true | — |\n| value_state | ValueStateName | true | — |\n| origin | OriginBlock | true | — |\n| note | string | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.overrideClassValue","body":"**POST /api/v1/facility/{facilityId}/rcm/classes/{classId}/override/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `classId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `BenefitOverride`. client-side declaration; not proof of accepted server payload.\n\nOne layer's answer for one property path. Inheriting and overriding are\nmutually exclusive states: `override.holds_value` is the discriminator, and\nan inheriting row carries no value at all.\n\n**BenefitOverride declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| layer | \"template\" \\| \"class\" \\| \"member_endorsement\" | true | — |\n| benefit_rule | RowRef | true | — |\n| benefit_template | RowRef \\| null | true | — |\n| benefit_class | RowRef \\| null | true | — |\n| member_coverage | RowRef \\| null | true | — |\n| field_path | string | true | — |\n| inherits | boolean | true | — |\n| override | object \\| object | true | — |\n| authority_org | RowRef \\| null | true | — |\n| source_document | SourceDocumentRef \\| null | true | — |\n| received_date | Stated | true | — |\n| mandatory_floor_respected | TriState | true | — |\n| effective_from | string \\| null | true | — |\n| effective_to | string \\| null | true | — |\n| effective_to_is_inclusive | boolean | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.simulateClass","body":"**POST /api/v1/facility/{facilityId}/rcm/classes/{classId}/simulate/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `classId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `SimulationReport`. client-side declaration; not proof of accepted server payload.\n\n**SimulationReport declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| label | string | true | — |\n| simulated_at | string \\| null | true | — |\n| posted_nothing | boolean | true | — |\n| cases | Array<object> | true | — |\n| affected_policies | string[] | true | — |\n| affected_services | string[] | true | — |\n| open_encounters | string[] | true | — |\n| findings | Array<object> | true | — |\n| has_unresolved | boolean | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.listBenefitOverrides","body":"**GET /api/v1/facility/{facilityId}/rcm/benefit_overrides/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<BenefitOverride>`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.listClassNetworkAssignments","body":"**GET /api/v1/facility/{facilityId}/rcm/class_network_assignments/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<ClassNetworkAssignment>`. client-side declaration; not proof of accepted server payload.\n\n**ClassNetworkAssignment declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| benefit_class | RowRef | true | — |\n| network | RowRef | true | — |\n| assignment_code | string | true | — |\n| precedence | number | true | — |\n| territories | object | true | An empty `values` means \"not scoped on this dimension\", never \"all\". |\n| emergency | TriState | true | — |\n| requires_referral | TriState | true | — |\n| service_codes | object | true | — |\n| scope_is_explicit | boolean | true | — |\n| is_unscoped | boolean | true | — |\n| lifecycle | LifecycleBlock | true | — |\n| evidence | EvidenceBlock | true | — |\n| gates | GateBlock | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.listCoverages","body":"**GET /api/v1/facility/{facilityId}/rcm/enrollment/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `PaginatedResponse<MemberCoverage>`. client-side declaration; not proof of accepted server payload.\n\n**MemberCoverage declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| id | string | true | — |\n| patient | string | true | — |\n| kind | \"insurance\" \\| \"self_pay\" \\| \"other\" \\| string | true | — |\n| status | string | true | — |\n| roles | object | true | — |\n| policy | string \\| null | true | — |\n| benefit_class | string \\| null | true | — |\n| program | string \\| null | true | — |\n| network | string \\| null | true | — |\n| relationship | OperationsStated | true | — |\n| eligibility_date | OperationsStated | true | — |\n| activation_date | OperationsStated | true | — |\n| coverage_period | object | true | — |\n| coordination | object | true | — |\n| mapping | CoverageMapping | true | — |\n| presented_evidence | Array<Record<string, unknown>> | false | — |\n| estimate_restriction | EstimateRestriction | false | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.retrieveCoverage","body":"**GET /api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `coverageId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `MemberCoverage`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.discoveryLadder","body":"**GET /api/v1/facility/{facilityId}/rcm/enrollment/discovery-ladder/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `DiscoveryLadder`. client-side declaration; not proof of accepted server payload.\n\n**DiscoveryLadder declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| config_package | string | true | — |\n| ladder_ref | string | true | — |\n| rank_labels | string[] | true | — |\n| rungs | DiscoveryRung[] | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.discoverCoverage","body":"**POST /api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/discover/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `coverageId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `DiscoveryResult`. client-side declaration; not proof of accepted server payload.\n\n**DiscoveryResult declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| coverage | string | true | — |\n| outcome | DiscoveryOutcome | true | — |\n| work_queues | WorkQueueRef[] | true | — |\n| mapping | CoverageMapping | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.verifyCoverage","body":"**POST /api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/verify/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `coverageId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `VerificationResult`. client-side declaration; not proof of accepted server payload.\n\n**VerificationResult declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| verification | CoverageVerification | true | — |\n| site_outcome_catalogue | SiteOutcomeCatalogueEntry[] | true | — |\n| site_statement | SiteStatement \\| null | true | — |\n| per_coverage_site_statements | SiteStatement[] | true | — |\n| guarantees_payment | boolean | true | — |\n| residual_denial_risks | string[] | true | — |\n| opens_work_items | boolean | true | — |\n| work_queues | WorkQueueRef[] | true | — |\n| blocking_gates | Array<Record<string, unknown>> | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.coverageEligibility","body":"**GET /api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/eligibility/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `coverageId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `EligibilitySurface`. client-side declaration; not proof of accepted server payload.\n\n**EligibilitySurface declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| coverage | MemberCoverage | true | — |\n| site_outcome_catalogue | SiteOutcomeCatalogueEntry[] | true | — |\n| answer_axes | AnswerAxisKey[] | true | — |\n| latest_response | CoverageVerification \\| null | true | — |\n| financial_clearance_context | ClearanceContext \\| null | true | — |\n| responses_disagree | boolean | true | — |\n| residual_denial_risks | string[] | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.resolveCoverageConflict","body":"**POST /api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/resolve-conflict/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `coverageId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `ConflictResolution`. client-side declaration; not proof of accepted server payload.\n\n**ConflictResolution declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| coverage | string | true | — |\n| agree | boolean | true | — |\n| retained | Array<object> | true | — |\n| discarded | unknown[] | true | Always empty by construction: nothing is discarded (ch. 21). |\n| coordination | object \\| null | true | — |\n| work_queues | WorkQueueRef[] | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.endorseCoverage","body":"**POST /api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/endorse/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `coverageId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**request type:** `Record<string, unknown>`. client-side declaration; not proof of accepted server payload.\n\n**response type:** `MemberCoverage`. client-side declaration; not proof of accepted server payload.\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."},{"title":"default.coverageEstimateRestriction","body":"**GET /api/v1/facility/{facilityId}/rcm/enrollment/{coverageId}/estimate-restriction/**. typed route object; literal. single static method/path match; deployment boundary still requires review.\n\n**Path parameters:** `facilityId`, `coverageId`. Transport strings are declared here; semantic identifier types require the server contract.\n\n**response type:** `EstimateRestriction`. client-side declaration; not proof of accepted server payload.\n\n**EstimateRestriction declared fields:**\n\n| Field | Type | Required | Description |\n| --- | --- | --- | --- |\n| coverage | string | true | — |\n| mapping | CoverageMapping | true | — |\n| may_present_amount | boolean | true | — |\n| certainty | \"certain\" \\| \"restricted\" | true | — |\n| restrictions | Array<object> | true | — |\n| latest_verification | string \\| null | true | — |\n\n**Operational limitation:** request validation, permission checks, error statuses and irreversible side effects belong to the server implementation. An unmatched or computed client route requires contract review before use."}],"troubleshooting":[{"problem":"A declared route is unavailable or a request is rejected","solution":"Compare the installed revision, actual API schema, optional plugin mount, HTTP-method restrictions and recorded validation/permission evidence. Do not bypass a refusal or send a production transaction to test documentation."}],"sources":[{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":35,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":41,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":48,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":55,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":60,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":65,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":71,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":77,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":82,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":92,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":98,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":104,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":110,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":122,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":133,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":141,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":146,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":151,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":156,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":161,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":166,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":172,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":178,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":183,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":190,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":195,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":200,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":205,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":211,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageApi.ts","line":217,"commit":"f6e9f05f76d443b26ebd2369f67d3c3bd52257ca"},{"path":"repositories/platform/mansoq-web/src/pages/Facility/settings/rcm/coverage/coverageA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