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POST
Create Prior Authorization
This endpoint supports idempotency keys

Authorizations

Authorization
string
header
required

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Headers

idempotency-key
string

Unique key to prevent duplicate requests. We support keys up to 255 characters.

Required string length: 1 - 255

Body

application/json
patient_plan_id
string<uuid>
required

Patient Plan ID

specialty
enum<string>
required

Specialty for the prior authorization

Available options:
PHYSICAL_THERAPY,
ABA_THERAPY,
SPEECH_THERAPY,
OCCUPATIONAL_THERAPY,
PSYCHOLOGICAL_TESTING,
HOME_HEALTH_CARE,
HOSPICE,
CARDIAC_REHABILITATION,
INTENSIVE_CARDIAC_REHABILITATION,
MENTAL_HEALTH,
PRINCIPAL_ILLNESS_NAVIGATION,
PRINCIPAL_CARE_MANAGEMENT,
ADVANCED_PRIMARY_CARE_MODELS,
PREVENTATIVE_HEALTH,
PARTIAL_HOSPITALIZATION_PROGRAM,
INTENSIVE_OUTPATIENT_PROGRAM,
INTERVENTIONAL_RADIOLOGY,
VASCULAR_SURGERY,
INTERVENTIONAL_CARDIOLOGY,
ORTHOPEDICS,
CHIROPRACTIC,
GYNECOLOGY,
LONG_TERM_CARE,
NUTRITIONAL_COUNSELING,
PHYSICAL_MEDICINE,
PULMONARY_REHABILITATION,
INJECTABLE_SPECIALTY_MEDICATIONS,
ALLERGY_TESTING,
SKILLED_NURSING,
RADIOLOGY,
OTOLARYNGOLOGY,
DURABLE_MEDICAL_EQUIPMENT,
DERMATOLOGY,
PROFESSIONAL_OFFICE_VISIT,
PSYCHIATRY
authorization_type
enum<string>
required

Type of authorization. Note: The following specialties are constrained to specific authorization types: Psychological Testing: Assessment authorization, Amendment

Available options:
ASSESSMENT_AUTHORIZATION,
INITIAL_AUTHORIZATION,
CONCURRENT_AUTHORIZATION,
AMENDMENT
save_as_draft
boolean
default:false

Whether to save as draft. Only available if prior auth management is enabled. Reach out to your Silna contact to turn it on.

Response

id
string<uuid>
required

ID of the created prior authorization

status
enum<string>
required

Status of the prior authorization

Available options:
DATA_REQUESTED,
DATA_RECEIVED,
ALL_REQUIRED_DATA_RECEIVED,
REQUESTED,
TOO_EARLY_TO_SUBMIT,
UNNECESSARY,
AWAITING_PROVIDER,
PENDING_PROVIDER_SUBMISSION_REVIEW,
AWAITING_SILNA,
APPROVED_TO_SUBMIT,
SUBMITTED_TO_PAYOR,
PAYOR_DENIED,
PAYOR_DENIED_APPEALING,
AWAITING_RESUBMISSION,
RESUBMITTED_TO_PAYOR,
PAYOR_APPROVED,
DENIED_UNAPPEALED,
PRELIMINARY_APPROVAL,
PARTIALLY_APPROVED,
WITHDRAWN
required_data
V1PriorAuthorizationRequiredData · object
required

Data required to complete the prior authorization request