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CareRequestExtension

Represents extra details for a care request such as the subscriber details for the member's health plan, home healthcare status, and ambulance transportation details.

Supported Calls

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

Fields

Field Details
AmbulanceTransportReason
Type
picklist
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Reason for ambulance transport.
AmbulanceTransportType
Type
picklist
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Type of ambulance transport.
AppealEffectuationDateTime
Type
dateTime
Properties
Create, Filter, Nillable, Sort, Update
Description
The effective date of the outcome of the appeal request. For example, if a claim was successfully appealed, this field displays the date when the claim was paid.
AuthorizationRefIdentifier
Type
string
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The unique identifier of the authorization request.
This field is available in API version 57.0 and later.
CareRequestCaseId
Type
reference
Properties
Create, Filter, Group, Sort
Description
Case related to the care request extension.
This is a relationship field.
Relationship Name
CareRequestCase
Relationship Type
Lookup
Refers To
Case
CareRequestId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Care request related to the care request extension.
This is a relationship field.
Relationship Name
CareRequest
Relationship Type
Lookup
Refers To
CareRequest
CaseSubStatus
Type
picklist
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The substatus of a case related to a care request.
Possible values are:
  • Approved
  • Auto Approved
  • Denied
  • More Information Requested
  • More Information Required
  • New Request
  • Partially Approved
  • Peer to Peer Review Scheduled
  • Pending Review
  • Schedule Peer to Peer Review
This field is available in API version 56.0 and later.
DocumentAttachmentStatus
Type
picklist
Properties
Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
Description
The status of a clinical document upload.
Possible values are:
  • Complete
  • Incomplete
This field is available in API version 55.0 and later.
HealthcareProviderId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The healthcare provider associated with the care request against whom the Grievance is filed
This is a relationship field.
Relationship Name
HealthcareProvider
Relationship Type
Lookup
Refers To
HealthcareProvider
HomeHealthCertificationEndDate
Type
date
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Certification end date for home healthcare.
HomeHealthCertificationStartDate
Type
date
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Certification start date for home healthcare.
HomeHealthStartDate
Type
date
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Date that home health services are scheduled or anticipated to start.
IndependentReviewDetermination
Type
picklist
Properties
Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
Description
The determination made by the independent review.
Possible values are:
  • Other
  • Overturned
  • Upheld
IndependentReviewDeterminationDate
Type
dateTime
Properties
Create, Filter, Nillable, Sort, Update
Description
The date when the determination was made by the independent review.
IndependentReviewSubmissionDate
Type
dateTime
Properties
Create, Filter, Nillable, Sort, Update
Description
The date when the review request was submitted for independent review.
IsIndependentReviewRequired
Type
boolean
Properties
Create, Defaulted on create, Filter, Group, Sort, Update
Description
Indicates whether an independent review is required
The default value is 'false'.
IsMedicareCoverage
Type
boolean
Properties
Create, Defaulted on create, Filter, Group, Sort, Update
Description
Indicates whether the member has Medicare coverage.
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.
Name
Type
string
Properties
Create, Filter, Group, idLookup, Sort, Update
Description
Name of the care request extension.
NursingHomeResidentialStatus
Type
picklist
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Nursing home-resident status at the time of service.
PriorDischargeStatus
Type
picklist
Properties
Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
Description
Specifies the previous discharge status of the member.
Possible values are:
  • Discharged to court/law enforcement.
  • Discharged to home with home health.
  • Discharged to home/self care.
  • Discharged to hospice care.
  • Discharged/transferred to LTACC.
  • Discharged/transferred to Psychiatric facility.
  • Discharged/transferred to SNF.
  • Discharged/transferred to other acute care facility.
  • Expired
  • Left against medical advice (AMA).
RecordTypeId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Category type of the request.
This is a relationship field.
Relationship Name
RecordType
Relationship Type
Lookup
Refers To
RecordType
ReferenceCaseType
Type
picklist
Properties
Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
Description
Specifies the type of reference case that's associated with the care request extension.
Possible values are:
  • Associated Case
  • Prior Case
This field is available in API version 58.0 and later.
ReopenDecisionDateTime
Type
dateTime
Properties
Create, Filter, Nillable, Sort, Update
Description
The date when the decision on the reopen request was made.
ReopenRequestOutcome
Type
picklist
Properties
Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
Description
The result of the reopen request.
Possible values are:
  • Overturned
  • Upheld
ReopenRequestType
Type
picklist
Properties
Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
Description
The type of reopen request.
Possible values are:
  • Peer-to-Peer Review
  • Reconsideration
RequestExtensionReason
Type
textarea
Properties
Create, Nillable, Update
Description
The reason for requesting the care extension.
RequestExtnDecisionDateTime
Type
dateTime
Properties
Create, Filter, Nillable, Sort, Update
Description
The date when the decision to extend the care request extension was made.
RequestOutcome
Type
picklist
Properties
Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
Description
Specifies the outcome of the request.
Possible values are:
  • Overturned
  • Partially Pending
  • Partially Upheld
  • Upheld
  • Voided
  • Queued
  • Complete
  • Error
RequestOutcomeDesc
Type
textarea
Properties
Create, Nillable, Update
Description
The description of the request outcome.
RequestType
Type
picklist
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Category type of the request.
Possible values are:
  • Admission Review
  • Concurrent Review
  • Health Services Review
  • Individual
  • Inpatient - Behavioral Health Review
  • Inpatient - Physical Health Review
  • Outpatient - Behavioral Health Review
  • Outpatient - Physical Health Review
  • Specialty Care Review
RequestingProviderId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The provider who requested a prior authorization for a care request. This field is available in API version 55.0 and later.
This field is a relationship field.
Relationship Name
RequestingProvider
Relationship Type
Lookup
Refers To
HealthcareProvider
ResolutionDescription
Type
textarea
Properties
Create, Nillable, Update
Description
The description of the care request.
ServiceLevel
Type
picklist
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The level of service rendered.
ServiceType
Type
string
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Classification of the type of service.
ServicingFacilityId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The facility where a patient receives service for a care request. This field is available in API version 55.0 and later.
This field is a polymorphic relationship field.
Relationship Name
ServicingFacility
Relationship Type
Lookup
Refers To
HealthcareFacility, HealthcarePractitionerFacility
ServicingProviderId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The provider who provides the service for a care request. This field is available in API version 55.0 and later.
This field is a relationship field.
Relationship Name
ServicingProvider
Relationship Type
Lookup
Refers To
HealthcareProvider
SubscriberId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Identifier for the person who has subscribed to the health plan.
This is a relationship field.
Relationship Name
Subscriber
Relationship Type
Lookup
Refers To
Account
SubscriberMemberIdentifier
Type
string
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
Member ID for the subscriber.
TotalAmbulanceTransportDistance
Type
double
Properties
Create, Filter, Nillable, Sort, Update
Description
Total distance traveled during ambulance transport.
UnitofMeasureId
Type
reference
Properties
Create, Filter, Group, Nillable, Sort, Update
Description
The unit of measure for the quantity associated with a prior authorization request. This field is available in API version 55.0 and later.
This field is a relationship field.
Relationship Name
UnitofMeasure
Relationship Type
Lookup
Refers To
UnitOfMeasure

Associated Objects

This object has the following associated objects. If the API version isn’t specified, they’re available in the same API versions as this object. Otherwise, they’re available in the specified API version and later.

CareRequestExtensionChangeEvent (API Version 62.0)
Change events are available for the object.
CareRequestExtensionFeed
Feed tracking is available for the object.
CareRequestExtensionHistory
History is available for tracked fields of the object.