This API is in Beta! Please be prepared to adapt to a new schema with limited notice if you choose to integrate.
This endpoint supports idempotency keys
Authorizations
Bearer authentication header of the form Bearer <token>
, where <token>
is your auth token.
Headers
Unique key to prevent duplicate requests. We support keys up to 255 characters.
Required string length:
1 - 255
Body
application/json
Patient Plan ID
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
, ADVANCED_PRIMARY_CARE_MODELS
, PREVENTATIVE_HEALTH
, PARTIAL_HOSPITALIZATION_PROGRAM
, INTENSIVE_OUTPATIENT_PROGRAM
, INTERVENTIONAL_RADIOLOGY
, VASCULAR_SURGERY
, INTERVENTIONAL_CARDIOLOGY
, ORTHOPEDICS
, CHIROPRACTIC
, GYNECOLOGY
Type of authorization
Available options:
ASSESSMENT_AUTHORIZATION
, INITIAL_AUTHORIZATION
, CONCURRENT_AUTHORIZATION
, AMENDMENT
Response
ID of the created prior authorization
Status of the prior authorization
Available options:
DATA_REQUESTED
, DATA_RECEIVED
, ALL_REQUIRED_DATA_RECEIVED
, REQUESTED
, UNNECESSARY
, AWAITING_PROVIDER
, AWAITING_SILNA
, SUBMITTED_TO_PAYOR
, PAYOR_DENIED
, PAYOR_DENIED_APPEALING
, PAYOR_APPROVED
, DENIED_UNAPPEALED
, PRELIMINARY_APPROVAL
, PARTIALLY_APPROVED
, WITHDRAWN
Data required to complete the prior authorization request