Care Authorization Request Input

A complete care authorization request.
Root XML tag
<careAuthorization>
JSON example
1{
2  "careRequestCase": {
3    "caseOrigin": "Web",
4    "subject": "Case No 10"
5  },
6  "contentDocumentLinks": [
7    {
8      "id": "069xx0000004CNZAA2"
9    },
10    {
11      "id": "069xx0000004CNYAA2"
12    }
13  ],
14  "assessmentLinks": [
15    {
16      "id": "0U3SG00000068Cb0AI"
17    }
18  ],
19  "patient": {
20    "lastName": "Fedex",
21    "firstName": "Roger"
22  },
23  "careRequestItems": [
24    {
25      "name": "95810",
26      "codeType": "CPT",
27      "sourceSystem": "source_system_name",
28      "codeDescription": "Dysuria",
29      "sourceSystemIdentifier": "0015cmi",
30      "quantity": "15"
31    }
32  ],
33  "careRequestDrugs": [
34    {
35      "sourceSystem": "source_system_name",
36      "daysSupply": "10",
37      "frequency": "16",
38      "name": "Metoprolol"
39    }
40  ],
41  "careRequest": {
42    "requestingPractitionerSpecialty": "Neurologist",
43    "placeOfService": "InPatient",
44    "sourceSystemIdentifier": "0015",
45    "name": "Care Request 15",
46    "requestingPractitionerLicense": "M.D",
47    "sourceSystem": "source_system_name",
48    "servicingPractitionerLicense": "M.D",
49    "servicingPractitionerSpecialty": "Hospitalist",
50    "recordType": "Complaint"
51  },
52  "careDiagnoses": [
53    {
54      "sourceSystem": "ajSource",
55      "name": "G47.30",
56      "codeDescription": "Sleep apnea, unspecified",
57      "codeType": "ICD-10-CM"
58    }
59  ]
60}
Properties
Name Type Description Required or Optional Available Version
assessmentLinks Assessment Links Input[] The details of the associated assessments used as the supporting content. Optional 55.0
careDiagnoses Care Diagnosis Input[] List of associated diagnosis including code type, name, and description. One or more care diagnoses can be associated with a care request. Optional 46.0
careRequest Care Request Input[] 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. Optional 46.0
careRequestDrugs Care Request Drug Input[] List of requested drug including name, strength, frequency, and instructions for administration. One or more drug requests can be associated with a care request. Optional 46.0
careRequestItems Care Request Item Input[] The details of a care service request, including name, modifiers, and the effective date. One or more care service requests can be associated with a care request. Optional 46.0
contentDocumentLinks Documents Input[] List of clinical documents to be attached as content document links to the prior authorization request. Optional 55.0
careRequestCase Care Request Case Input[] Case related to the care request. Optional 46.0
patient Care Request Patient Input[] The patient for whom the request is being raised. Optional 46.0
subscriber Care Request Subscriber Input[] The primary member on the plan. Optional 46.0
transportLocations Transport Location Input[] List of Transport Locations. Optional 46.0