CareRequest

Represents 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 preauthorizations for drugs and services, admission notifications, concurrent review of admissions, appeals, complaints, and grievances.

Supported Calls

create(), delete(), describeLayout(), describeSObjects(), getDeleted(), getUpdated(), query(), retrieve(), search(), undelete(), update(), upsert()

Fields

Field Name	Details
AcknowledgementLetterSentDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time when an acknowledgment letter was sent to the requester.
ActualAdmissionDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Actual admission date for the patient.
ActualDischargeDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Actual discharge date for the patient.
AdmissionNotes	Type textarea Properties Create, Nillable, Update Description Notes related to the admission.
AdmissionSource	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Where the patient was admitted from, for example, a clinic or an emergency room.
AdmissionType	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Type of admission, for example, emergency or elective.
AorReceivedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time when the Appointment of Representative (AOR) form was received.
AorRequestedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time when the AOR form was requested.
AppointedRepresentativeId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description ID of the appointed representative for the member.
AppointedRepVerbalContactDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time of verbal contact with the member's appointed representative.
AppointedRepWrittenContactDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time correspondence was sent to the member's appointed representative.
ApprovedLengthOfStay	Type int Properties Create, Filter, Group, Nillable, Sort, Update Description Approved number of days for the admission.
ApprovedLevelOfCare	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Approved level of care for the patient, for example, `Hospital-Observaton` or `SNF-Rehabilitation`.
CareRequestCaseId	Type reference Properties Create, Filter, Group, Sort Description Case related to the care request.
ClaimNumber	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description Claim number for the medical service or medication, if one exists.
ClinicalCaseType	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Clinical case type for the patient, for example, `High Risk Fall` or `Adult Diabetes`.
CriteriaMet	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Indicates whether criteria for care was met.
CumulativeLengthOfStay	Type int Properties Create, Filter, Group, Nillable, Sort, Update Description Total number of days for the admission.
CurrentLevelOfCare	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Level of care that the patient is receiving.
DecisionDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date by which the decision must be made for the request.
DecisionDaysRemaining	Type int Properties Filter, Group, Nillable, Sort Description Number of days remaining for a decision or resolution.
DecisionLetter	Type textarea Properties Create, Nillable, Update Description The text of the determination letter sent to the member and provider.
DecisionNotes	Type textarea Properties Create, Nillable, Update Description Notes related to the decision.
DecisionReason	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Reason for the decision.
DecisionReasonDescription	Type textarea Properties Create, Nillable, Update Description Text describing the reason for the decision.
DeniedLengthOfStay	Type int Properties Create, Filter, Group, Nillable, Sort, Update Description Number of days denied for the admission.
DeniedLevelOfCare	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Level of care denied for the patient.
DispositionNotes	Type textarea Properties Create, Nillable, Update Description Notes related to the disposition of the request.
DueDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date the request is due for completion.
EffectiveFrom	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description The start date for an effective-date range.
EffectiveTo	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description The end date for an effective-date range.
ExpirationDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Expiration date for the request.
ExtensionRequestReceivedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time an extension was requested.
ExternalComplaintIdentifier	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description Complaint ID number.
FacilityRecordNumber	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description The medical record number used to identify a patient.
FacilityRoomBedType	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Type of facility bed for the patient.
FacilityRoomNumber	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description The facility room number for the patient.
FinalLevelOfCare	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Final level of care the patient.
FirstReviewerId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description The name of the person who reviewed the request.
FirstReviewerNotes	Type textarea Properties Create, Nillable, Update Description Notes from the first reviewer related to the case.
GeneralPractitionerId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description Member's primary or general care practitioner.
GeneralPractitionerVerbalNotifiedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date when the primary care practitioner was verbally notified of the decision
GeneralPractitionerWrittenNotifiedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date when the primary care practitioner was notified of the decision by written correspondence.
InfoReceivedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time when additional information was received from the provider or member.
InfoRequestedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time when additional information was requested from the provider or member.
InitialDenialNotificationDate	Type date Properties Create, Filter, Group, Nillable, Sort, Update Description Date of initial denial notification.
IsExtendedRequest	Type boolean Properties Create, Defaulted on create, Filter, Group, Sort, Update Description Indicates whether a request was extended.
IsServiceOrMedicationReceived	Type boolean Properties Create, Defaulted on create, Filter, Group, Sort, Update Description Indicates whether the member has already received the medial service or medication.
LastReferencedDate	Type dateTime Properties Filter, Nillable, Sort Description The timestamp for when the current user last viewed a record related to this record.
LastViewedDate	Type dateTime Properties Filter, Nillable, Sort Description The timestamp for when the current user last viewed this record. If this value is null, it’s possible that this record was referenced (LastReferencedDate) and not viewed.
MedicalDirectorId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description Name of the medical director who reviewed the request.
MedicalDirectorNotes	Type textarea Properties Create, Nillable, Update Description Notes from the medical director related to the request.
MemberContactDateTime	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time when the member was contacted.
MemberDateOfBirth	Type date Properties Create, Filter, Group, Nillable, Sort, Update Description Date of birth of the member.
MemberFirstName	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description First name of the member.
MemberGroupNumber	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description Insurance group number for the member.
MemberId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description Insurance identifier for the member.
MemberIdentificationNumber	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description Insurance identification number for the member.
MemberLastName	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description Last name of the member.
MemberVerbalNotificationDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date when the member was verbally notified of the decision.
MemberWrittenNotificationDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date when the member was notified of the decision by written correspondence.
ModificationDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date the case was modified.
ModifiedLengthOfStay	Type int Properties Create, Filter, Group, Nillable, Sort, Update Description Modified number of days for the admission.
ModifiedLevelOfCare	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Modified level of care for the patient.
Name	Type string Properties Create, Filter, Group, idLookup, Sort, Update Description Name of the care request.
NextReviewDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date the next review is scheduled for completion.
OriginalDenialMedicalDirectorId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description The name of the medical director who denied the original request.
ParProvider	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Indicator of whether this provider has entered into an agreement with the insurance carrier.
PlaceOfService	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Place of service for the member's care such as an inpatient hospital or an ambulatory surgery center.
PractitionerContactDateTime	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time when the provider was contacted.
ReceivedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date the request was received.
ReconsiderationDenialNotificationDate	Type date Properties Create, Filter, Group, Nillable, Sort, Update Description Date of reconsideration denial notification.
ReferenceCaseNumber	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description Reference authorization number for an appeal, complaint, or grievance.
ReopenedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date the request was reopened.
ReopenReason	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Date the request was reopened.
ReopenReasonDescription	Type textarea Properties Create, Nillable, Update Description Description of why the request was reopened.
RequestedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date the request was originally requested.
RequestedLengthOfStay	Type int Properties Create, Filter, Group, Nillable, Sort, Update Description Requested number of days for the admission.
RequestedLevelOfCare	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Requested level of care for the patient.
RequesterType	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Indicates the role of the individual initiating the request.
RequestingPractitionerId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description Ordering or referring practitioner for the request.
RequestingPractitionerLicense	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description License type of the practitioner.
RequestingPractitionerSpecialty	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Specialty of the practitioner, for example, `Family Practice` or `General Surgery`.
RequestingPractitionerVerbalNotifiedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date when the practitioner was verbally notified of the decision.
RequestingPractitionerWrittenNotifiedDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date when the practitioner was notified of the decision by written correspondence.
ResolutionDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date when the complaint, appeal, or grievance was resolved.
ResolutionLetterSentDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date and time when a resolution letter was sent to the requester.
ResolutionNotes	Type textarea Properties Create, Nillable, Update Description Resolution notes for the request.
ReviewDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Date the review was completed.
RootCauseNotes	Type textarea Properties Create, Nillable, Update Description Field for notes related to the root cause for the request.
ScheduledAdmissionDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Anticipated admission date for the patient.
ScheduledDischargeDate	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Scheduled discharge date for the patient.
ServiceDate	Type date Properties Create, Filter, Group, Nillable, Sort, Update Description Date when patient received the service.
ServicingFacilityId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description Facility where the service is being provided.
ServicingPractitionerId	Type reference Properties Create, Filter, Group, Nillable, Sort, Update Description Practitioner administering the service.
ServicingPractitionerLicense	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description License type of the practitioner.
ServicingPractitionerSpecialty	Type picklist Properties Create, Filter, Group, Nillable, Sort, Update Description Specialty of the practitioner.
SourceSystem	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description System from which this request was sourced.
SourceSystemIdentifier	Type string Properties Create, Filter, Group, Nillable, Sort, Update Description ID of the system from which the request was sourced.
SourceSystemModified	Type dateTime Properties Create, Filter, Nillable, Sort, Update Description Timestamp of the most recent update from the source system.

Object Reference for Salesforce and Lightning Platform

CareRequest

Supported Calls

Fields