Root XML tag
<careAuthorization>
JSON example
{
"careRequestCase": {
"caseOrigin": "Web",
"subject": "Case No 10"
},
"contentDocumentLinks": [
{
"id": "069xx0000004CNZAA2"
},
{
"id": "069xx0000004CNYAA2"
}
],
"assessmentLinks": [
{
"id": "0U3SG00000068Cb0AI"
}
],
"patient": {
"lastName": "Fedex",
"firstName": "Roger"
},
"careRequestItems": [
{
"name": "95810",
"codeType": "CPT",
"sourceSystem": "source_system_name",
"codeDescription": "Dysuria",
"sourceSystemIdentifier": "0015cmi",
"quantity": "15"
}
],
"careRequestDrugs": [
{
"sourceSystem": "source_system_name",
"daysSupply": "10",
"frequency": "16",
"name": "Metoprolol"
}
],
"careRequest": {
"requestingPractitionerSpecialty": "Neurologist",
"placeOfService": "InPatient",
"sourceSystemIdentifier": "0015",
"name": "Care Request 15",
"requestingPractitionerLicense": "M.D",
"sourceSystem": "source_system_name",
"servicingPractitionerLicense": "M.D",
"servicingPractitionerSpecialty": "Hospitalist",
"recordType": "Complaint"
},
"careDiagnoses": [
{
"sourceSystem": "ajSource",
"name": "G47.30",
"codeDescription": "Sleep apnea, unspecified",
"codeType": "ICD-10-CM"
}
]
}
Properties
| Name | Type | Description | Required or Optional | Available Version |
|---|---|---|---|---|
| assessmentLinks | Assessment Links Input[] | The details of the associated assessments used as the supporting content. | Optional | 55.0 |
| careDiagnoses | Care Diagnosis Input[] | List of associated diagnosis including code type, name, and description. One or more care diagnoses can be associated with a care request. | Optional | 46.0 |
| careRequest | Care Request Input[] | The general details of a care-related request including member information, admission date, decision reason, and so on. A single request can contain multiple diagnoses, services, or drugs. Care requests include prior authorizations for drugs and services, admission notifications, concurrent review of admissions, appeals, complaints, and grievances. | Optional | 46.0 |
| careRequestDrugs | Care Request Drug Input[] | List of requested drug including name, strength, frequency, and instructions for administration. One or more drug requests can be associated with a care request. | Optional | 46.0 |
| careRequestItems | Care Request Item Input[] | The details of a care service request, including name, modifiers, and the effective date. One or more care service requests can be associated with a care request. | Optional | 46.0 |
| contentDocumentLinks | Documents Input[] | List of clinical documents to be attached as content document links to the prior authorization request. | Optional | 55.0 |
| careRequestCase | Care Request Case Input[] | Case related to the care request. | Optional | 46.0 |
| patient | Care Request Patient Input[] | The patient for whom the request is being raised. | Optional | 46.0 |
| subscriber | Care Request Subscriber Input[] | The primary member on the plan. | Optional | 46.0 |
| transportLocations | Transport Location Input[] | List of Transport Locations. | Optional | 46.0 |