Salesforce Health Cloud Developer Guide
jNewer Version Available
Care Request
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.
| Property Name | Type | Description | Filter Group and Version | Available Version |
|---|---|---|---|---|
| acknowledgementLetterSentDate | String | Date and time when an acknowledgment letter was sent to the requester. Maps to: CareRequest.AcknowledgementLetterSentDate | Big, 46.0 | 46.0 |
| actualAdmissionDate | String | Actual admission date for the patient. Maps to: CareRequest.ActualAdmissionDate | Big, 46.0 | 46.0 |
| actualDischargeDate | String | Actual discharge date for the patient. Maps to: CareRequest.ActualDischargeDate | Big, 46.0 | 46.0 |
| admissionNotes | String | Notes related to the admission. Maps to: CareRequest.AdmissionNotes | Big, 46.0 | 46.0 |
| admissionSource | String | Where the patient was admitted from, for example, a clinic or an emergency room. Maps to: CareRequest.AdmissionSource | Big, 46.0 | 46.0 |
| admissionType | String | Type of admission, for example, emergency or elective. Maps to: CareRequest.AdmissionType | Big, 46.0 | 46.0 |
| ambulanceTransportDistance | Integer | Ambulance Transport Distance | Big, 46.0 | 46.0 |
| ambulanceTransportReason | String | Reason for ambulance transport. Maps to: CareRequestExtention.AmbulanceTransportReason | Big, 46.0 | 46.0 |
| ambulanceTransportType | String | Type of ambulance transport. Maps to: CareRequestExtention.AmbulanceTransportType | Big, 46.0 | 46.0 |
| aorReceivedDate | String | Date and time when the Appointment of Representative (AOR) form was received. Maps to: CareRequest.AorReceivedDate | Big, 46.0 | 46.0 |
| aorRequestedDate | String | Date and time when the AOR form was requested. Maps to: CareRequest.AorRequestedDate | Big, 46.0 | 46.0 |
| appointedRepVerbalContactDate | String | Date and time of verbal contact with the member's appointed representative. Maps to: CareRequest.AppointedRepVerbalContactDate | Big, 46.0 | 46.0 |
| appointedRepWrittenContactDate | String | Date and time correspondence was sent to the member's appointed representative. Maps to: CareRequest.AppointedRepWrittenContactDate | Big, 46.0 | 46.0 |
| appointedRepresentative | Appointed Representative | Appointed representative for the member. | Big, 46.0 | 46.0 |
| approvedLengthofStay | Integer | Approved number of days for the admission. Maps to: CareRequest.ApprovedLengthOfStay | Big, 46.0 | 46.0 |
| approvedLevelofCare | String | Approved level of care for the patient, for example, Hospital-Observaton or SNF-Rehabilitation. Maps to: CareRequest.ApprovedLevelOfCare | Big, 46.0 | 46.0 |
| claimNumber | String | Claim number for the medical service or medication, if one exists. Maps to: CareRequest.ClaimNumber | Big, 46.0 | 46.0 |
| clinicalCaseType | String | Clinical case type for the patient, for example, High Risk Fall or Adult Diabetes. Maps to: CareRequest.ClinicalCaseType | Big, 46.0 | 46.0 |
| criteriaMet | String | Indicates whether criteria for care was met. Maps to: CareRequest.CriteriaMet | Big, 46.0 | 46.0 |
| cumulativeLengthofStay | Integer | Total number of days for the admission. Maps to: CareRequest.CumulativeLengthOfStay | Big, 46.0 | 46.0 |
| currentLevelofCare | String | Level of care that the patient is receiving. Maps to: CareRequest.CurrentLevelOfCare | Big, 46.0 | 46.0 |
| decisionDate | String | Date by which the decision must be made for the request. Maps to: CareRequest.DecisionDate | Big, 46.0 | 46.0 |
| decisionDaysRemaining | Integer | Number of days remaining for a decision or resolution. Maps to: CareRequest.DecisionDaysRemaining | Big, 46.0 | 46.0 |
| decisionLetter | String | The text of the determination letter sent to the member and provider. Maps to: CareRequest.DecisionLetter | Big, 46.0 | 46.0 |
| decisionNotes | String | Notes related to the decision. Maps to: CareRequest.DecisionNotes | Big, 46.0 | 46.0 |
| decisionReason | String | Reason for the decision. Maps to: CareRequest.DecisionReason | Big, 46.0 | 46.0 |
| decisionReasonDescription | String | Text describing the reason for the decision. Maps to: CareRequest.DecisionReasonDescription | Big, 46.0 | 46.0 |
| deniedLengthofStay | Integer | Number of days denied for the admission. Maps to: CareRequest.DeniedLengthOfStay | Big, 46.0 | 46.0 |
| deniedLevelofCare | String | Level of care denied for the patient. Maps to: CareRequest.DeniedLevelOfCare | Big, 46.0 | 46.0 |
| dispositionNotes | String | Notes related to the disposition of the request. Maps to: CareRequest.DispositionNotes | Big, 46.0 | 46.0 |
| documentAttachmentStatus | String | The status of the document upload based on the checklist provided to the reviewers. Maps to: CareRequestExtension.DocumentAttachmentStatus | Big, 55.0 | 55.0 |
| dueDate | String | Date the request is due for completion. Maps to: CareRequest.DueDate | Big, 46.0 | 46.0 |
| effectiveFrom | String | The start date for an effective-date range. Maps to: CareRequest.EffectiveFrom | Big, 46.0 | 46.0 |
| effectiveTo | String | The end date for an effective-date range. Maps to: CareRequest.EffectiveTo | Big, 46.0 | 46.0 |
| expirationDate | String | Expiration date for the request. Maps to: CareRequest.ExpirationDate | Big, 46.0 | 46.0 |
| extendedRequest | Boolean | Extended Request Maps to: CareRequest. | Big, 46.0 | 46.0 |
| extensionRequestReceivedDate | String | Date and time an extension was requested. Maps to: CareRequest.ExtensionRequestReceivedDate | Big, 46.0 | 46.0 |
| externalComplaintID | String | Complaint ID number. Maps to: CareRequest.ExternalComplaintIdentifier | Big, 46.0 | 46.0 |
| facilityRecordNumber | String | The medical record number used to identify a patient. Maps to: CareRequest.FacilityRecordNumber | Big, 46.0 | 46.0 |
| facilityRoomBedType | String | Type of facility bed for the patient. Maps to: CareRequest.FacilityRoomBedType | Big, 46.0 | 46.0 |
| facilityRoomNumber | String | The facility room number for the patient. Maps to: CareRequest.FacilityRoomNumber | Big, 46.0 | 46.0 |
| finalLevelofCare | String | Final level of care the patient. Maps to: CareRequest.FinalLevelOfCare | Big, 46.0 | 46.0 |
| firstReviewer | First Reviewer | The person who reviewed the request. | Big, 46.0 | 46.0 |
| firstReviewerNotes | String | Notes from the first reviewer related to the case. Maps to: CareRequest.FirstReviewerNotes | Big, 46.0 | 46.0 |
| generalPractitioner | General Practitioner | Member's primary or general care practitioner. | Big, 46.0 | 46.0 |
| generalPractitionerVerbalNotificationDate | String | Date when the primary care practitioner was verbally notified of the decision. Maps to: CareRequest.GeneralPractitionerVerbalNotifiedDate | Big, 46.0 | 46.0 |
| generalPractitionerWrittenNotificationDate | String | Date when the primary care practitioner was notified of the decision by written correspondence. Maps to: CareRequest.GeneralPractitionerWrittenNotifiedDate | Big, 46.0 | 46.0 |
| homeHealthCertificationEndDate | String | Certification end date for home health care. Maps to: CareRequestExtension.HomeHealthCertificationEndDate | Big, 46.0 | 46.0 |
| homeHealthCertificationStartDate | String | Certification start date for home health care. Maps to: CareRequestExtension.HomeHealthCertificationStartDate | Big, 46.0 | 46.0 |
| homeHealthStartDate | String | Date that home health services are scheduled or anticipated to start. Maps to: CareRequestExtension.HomeHealthStartDate | Big, 46.0 | 46.0 |
| id | String | Id | Big, 46.0 | 46.0 |
| infoReceievedDate | String | Date and time when additional information was received from the provider or member. Maps to: CareRequest.InfoReceivedDate | Big, 46.0 | 46.0 |
| infoRequestedDate | String | Date and time when additional information was requested from the provider or member. Maps to: CareRequest.InfoRequestedDate | Big, 46.0 | 46.0 |
| initialDenialNotificationDate | String | Date of initial denial notification. Maps to: CareRequest.InitialDenialNotificationDate | Big, 46.0 | 46.0 |
| lastModifiedDate | String | Last Modified Date | Big, 46.0 | 46.0 |
| medicalDirector | Medical Director | The medical director who reviewed the request. | Big, 46.0 | 46.0 |
| medicalDirectorNotes | String | Notes from the medical director related to the request. Maps to: CareRequest.MedicalDirectorNotes | Big, 46.0 | 46.0 |
| member | String | Insurance identifier for the member. Maps to: CareRequest.MemberId | Big, 46.0 | 46.0 |
| memberContactDate | String | Member Contact Date Maps to: CareRequest. | Big, 46.0 | 46.0 |
| memberGroupNumber | String | Insurance group number for the member. Maps to: CareRequest.MemberGroupNumber | Big, 46.0 | 46.0 |
| memberVerbalNotificationDate | String | Date when the member was verbally notified of the decision. Maps to: CareRequest.MemberVerbalNotificationDate | Big, 46.0 | 46.0 |
| memberWrittenNotificationDate | String | Date when the member was notified of the decision by written correspondence. Maps to: CareRequest.MemberWrittenNotificationDate | Big, 46.0 | 46.0 |
| modificationDate | String | Date the case was modified. Maps to: CareRequest.ModificationDate | Big, 46.0 | 46.0 |
| modifiedLengthofStay | Integer | Modified number of days for the admission. Maps to: CareRequest.ModifiedLengthOfStay | Big, 46.0 | 46.0 |
| modifiedLevelofCare | String | Modified level of care for the patient. Maps to: CareRequest.ModifiedLevelOfCare | Big, 46.0 | 46.0 |
| nextReviewDate | String | Date the next review is scheduled for completion. Maps to: CareRequest.NextReviewDate | Big, 46.0 | 46.0 |
| nursingHomeResidentialStatus | String | Nursing home resident status at the time of service. Maps to: CareRequestExtension.NursingHomeResidentialStatus | Big, 46.0 | 46.0 |
| originalDenialMedicalDirector | Original Denial Medical Director | The medical director who denied the original request. | Big, 46.0 | 46.0 |
| parProvider | String | Indicator of whether this provider has entered into an agreement with the insurance carrier. Maps to: CareRequest.ParProvider | Big, 46.0 | 46.0 |
| placeofService | String | Place of service for the member's care such as an inpatient hospital or an ambulatory surgery center. Maps to: CareRequest.PlaceOfService | Big, 46.0 | 46.0 |
| practitionerContactDate | String | Practitioner Contact Date | Big, 46.0 | 46.0 |
| quantity | Integer | Quantity | Big, 46.0 | 46.0 |
| quantityType | String | Quantity type for the request such as days, units, or visits. Maps to: CareRequest.QuantityType | Big, 46.0 | 46.0 |
| receivedDate | String | Date the request was received. Maps to: CareRequest.ReceivedDate | Big, 46.0 | 46.0 |
| reconsiderationDenialNotificationDate | String | Date of reconsideration denial notification. Maps to: CareRequest.ReconsiderationDenialNotificationDate | Big, 46.0 | 46.0 |
| recordType | String | Record Type | Big, 46.0 | 46.0 |
| referenceCaseNumber | String | Reference authorization number for an appeal, complaint, or grievance. Maps to: CareRequest.ReferenceCaseNumber | Big, 46.0 | 46.0 |
| reopenReason | String | Reason the request was reopened. Maps to: CareRequest.ReopenReason | Big, 46.0 | 46.0 |
| reopenReasonDescription | String | Description of why the request was reopened. Maps to: CareRequest.ReopenReasonDescription | Big, 46.0 | 46.0 |
| reopenedDate | String | Date the request was reopened. Maps to: CareRequest.ReopenedDate | Big, 46.0 | 46.0 |
| requestType | String | Category type of the request. Maps to: CareRequestExtension.RequestType | Big, 46.0 | 46.0 |
| requestedDate | String | Date the request was originally requested. Maps to: CareRequest.RequestedDate | Big, 46.0 | 46.0 |
| requestedLevelofCare | String | Requested level of care for the patient. Maps to: CareRequest.RequestedLevelOfCare | Big, 46.0 | 46.0 |
| requesterType | String | Indicates the role of the individual initiating the request. Maps to: CareRequest.RequesterType | Big, 46.0 | 46.0 |
| requestingPractitioner | Requesting Practitioner | Ordering or referring practitioner for the request. | Big, 46.0 | 46.0 |
| requestingPractitionerLicense | String | Requesting Practitioner License Maps to: CareRequest.RequestingPractitionerLicense | Big, 46.0 | 46.0 |
| requestingPractitionerSpecialty | String | Specialty of the practitioner, for example, Family Practice or General Surgery. Maps to: CareRequest.RequestingPractitionerSpecialty | Big, 46.0 | 46.0 |
| requestingPractitionerVerbalNotificationDate | String | Date when the practitioner was verbally notified of the decision. Maps to: CareRequest.RequestingPractitionerVerbalNotifiedDate | Big, 46.0 | 46.0 |
| requestingPractitionerWrittenNotificationDate | String | Date when the practitioner was notified of the decision by written correspondence. Maps to: CareRequest.RequestingPractitionerWrittenNotifiedDate | Big, 46.0 | 46.0 |
| resolutionDate | String | Date when the complaint, appeal, or grievance was resolved. Maps to: CareRequest.ResolutionDate | Big, 46.0 | 46.0 |
| resolutionLetterSentDate | String | Date and time when a resolution letter was sent to the requester. Maps to: CareRequest.ResolutionLetterSentDate | Big, 46.0 | 46.0 |
| resolutionNotes | String | Resolution notes for the request. Maps to: CareRequest.ResolutionNotes | Big, 46.0 | 46.0 |
| reviewDate | String | Date the review was completed. Maps to: CareRequest.ReviewDate | Big, 46.0 | 46.0 |
| rootCauseNotes | String | Field for notes related to the root cause for the request. Maps to: CareRequest.RootCauseNotes | Big, 46.0 | 46.0 |
| scheduledAdmissionDate | String | Anticipated admission date for the patient. Maps to: CareRequest.ScheduledAdmissionDate | Big, 46.0 | 46.0 |
| scheduledDischargeDate | String | Scheduled discharge date for the patient. Maps to: CareRequest.ScheduledDischargeDate | Big, 46.0 | 46.0 |
| serviceDate | String | Date when patient received the service. Maps to: CareRequest.ServiceDate | Big, 46.0 | 46.0 |
| serviceLevel | String | The level of service rendered. Maps to: CareRequestExtension.ServiceLevel | Big, 46.0 | 46.0 |
| serviceType | String | Classification of the type of service. Maps to: CareRequestExtention.ServiceType | Big, 46.0 | 46.0 |
| serviceorMedicationReceived | Boolean | Service or Medication Received. | Big, 46.0 | 46.0 |
| servicingFacility | Servicing Facility | Facility where the service is being provided. | Big, 46.0 | 46.0 |
| servicingPractitioner | Servicing Practitioner | Practitioner administering the service. | Big, 46.0 | 46.0 |
| servicingPractitionerLicense | String | License type of the practitioner. Maps to: CareRequest.ServicingPractitionerLicense | Big, 46.0 | 46.0 |
| servicingPractitionerSpecialty | String | Specialty of the practitioner. Maps to: CareRequest.ServicingPractitionerSpecialty | Big, 46.0 | 46.0 |
| sourceSystem | String | System from which this request was sourced. Maps to: CareRequest.SourceSystem | Big, 46.0 | 46.0 |
| sourceSystemIdentifier | String | ID of the system from which the request was sourced. Maps to: CareRequest.SourceSystemIdentifier | Big, 46.0 | 46.0 |
| sourceSystemModified | String | Timestamp of the most recent update from the source system. Maps to: CareRequest.SourceSystemModified | Big, 46.0 | 46.0 |
| unitOfMeasure | String | The unit of measure associated with the prior authorization request. Maps to: CareRequestExtension.UnitofMeasure | Big, 55.0 | 55.0 |