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.
Root XML tag
<careRequestItem>
JSON example
{
	"name": "95810",
	"codeType": "CPT",
	"sourceSystem": "source_system_name",
	"codeDescription": "Dysuria",
	"sourceSystemIdentifier": "0015cmi",
	"quantity": "15"
	}
Properties
Name Type Description Required Available Version
approvedLength​OfStay Integer The number of days requested for the admission. Maps to: CareRequestItem.ApprovedLengthOfStay No 52.0
approvedLevel​OfCare Integer Specifies the approved level of care for the patient. Maps to: CareRequestItem.ApprovedLevelOfCare No 52.0
approvedQuantity Integer The approved quantity of the care item. Maps to: CareRequestItem.ApprovedQuantity No 46.0
approvedService​EndDate String The end date of the approved service that the patient received. Maps to: CareRequestItem.ApprovedServiceEndDate No 52.0
approvedService​StartDate String The start date of the approved service that the patient received. Maps to: CareRequestItem.ApprovedServiceStartDate No 52.0
AssertionIdentifier String The unique identifier of the coverage assertion. This is unavailable for PATCH requests. No 63.0
authApproval​Identifier String The unique identifier assigned to the item on approval of the prior authorization request. Maps to: CareRequestItem.AuthApprovalIdentifier No 57.0
authorization​RefIdentifier String The unique identifier of the prior authorization request associated with this requested item. Maps to: CareRequestItem.AuthorizationRefIdentifier No 57.0
careRequest​Reviewers Care Request Reviewer Input The care request item associated with the care request reviewer. Maps to: CareRequestItem.CareRequestReviewers No 52.0
clinical​Determination String The clinical determination of the care request. Maps to: CareRequestItem.ClinicalDetermintation No 52.0
clinical​DeterminationNotes String The notes related to the clinical determination. Maps to: CareRequestItem.ClinicalDetermintationNotes No 52.0
clinical​DeterminationReason String The reason for the clinical determination. Maps to: CareRequestItem.ClinicalDetermintationReason No 52.0
clinicalService​RequestId String The clinical service request associated with the care request item. Maps to: CareRequestItem.ClinicalServiceRequest No 57.0
code String ID of the service code. Maps to: CareRequestItem.Name No 46.0
codeDescription String Description of the denied service code. Maps to: CareRequestItem.CodeDescription No 46.0
codeType String Code type for the service. Maps to: CareRequestItem.CodeType No 46.0
codeTypeId String ID of the code type for the service. Maps to: CareRequestItem.CodeTypeIdentifier No 46.0
cumulativeLength​OfStay Integer The number of days a patient is admitted. Maps to: CareRequestItem.CumulativeLengthOfStay No 52.0
currentLevel​OfCare String Specifies the level of care the patient is receiving. Maps to: CareRequestItem.CurrentLevelOfCare No 52.0
decisionDate String The date and time when the last decision was made for this care request item. Maps to: CareRequestItem.DecisionDate No 52.0
deniedLevel​OfCare String The level of care denied for the patient. Maps to: CareRequestItem.DeniedLevelOfCare No 52.0
deniedQuantity Integer The quantity of the denied service. Maps to: CareRequestItem.DeniedQuantity No 46.0
effectiveDate String Effective date for the diagnosis Maps to: CareRequestItem.EffectiveDate No 46.0
endDate String Termination date for the service. Maps to: CareRequestItem.EndDate No 46.0
freeFormProcedure​Description String Free-form description of the procedure. Maps to: CareRequestItem.FreeFormProcedureDescription No 46.0
healthcare​ProcedureCode String Healthcare Procedure Code. No 46.0
id String ID of the CareRequestItem. Required for PATCH. 46.0
modifiedCare​EndDate String Modified Care End Date No 46.0
modifiedCode String Modified Code No 46.0
modifiedCode​Description String Description of the modified service code. Maps to: CareRequestItem.ModifiedCodeDescription No 46.0
modifiedCode​Type String Code type for the modified service. Maps to: CareRequestItem.ModifiedCodeType No 46.0
modifiedCode​TypeId String ID of the code type for the modified service. Maps to: CareRequestItem.ModifiedCodeTypeIdentifier No 46.0
modified​EffectiveDate String Effective date for the modified service. Maps to: CareRequestItem.ModifiedEffectiveDate No 46.0
modifiedLevel​OfCare String Specifies the modified level of care for the patient. Maps to: CareRequestItem.ModifiedLevelOfCare No 52.0
modifiedModifier String Modifier for modified service code. Maps to: CareRequestItem.ModifiedModifier No 46.0
modifiedModifier​Description String Modifier description for modified service code. Maps to: CareRequestItem.ModifiedModifierDescription No 46.0
modifiedProcedure​CodeSet String The code set for the modified service, drug, or device associated with the care request item. Maps to: CareRequestItem.ModifiedProcedureCodeSet No 52.0
modifiedQuantity Integer The modified quantity of requested care. Maps to: CareRequestItem.ModifiedQuantity No 46.0
modifier1 String First modifier for the service code. Maps to: CareRequestItem.Modifier No 46.0
modifier1​Description String Description for the first modifier for the service code. Maps to: CareRequestItem.ModifierDescription No 46.0
modifier2 String Second modifier for service code. Maps to: CareRequestItem.Modifier2 No 46.0
modifier2​Description String Description of the second modifier for the service code. Maps to: CareRequestItem.Modifier2Description No 46.0
modifier3 String Third modifier for service code. Maps to: CareRequestItem.Modifier3 No 46.0
modifier3​Description String Description of the third modifier for the service code. Maps to: CareRequestItem.Modifier3Description No 46.0
modifier4 String Fourth modifier for service code. Maps to: CareRequestItem.Modifier4 No 46.0
modifier4​Description String Description of the fourth modifier for the service code. Maps to: CareRequestItem.Modifier4Description No 46.0
modifierCodeSet String The modifier code set for the service code associated with the care request item. Maps to CareRequestItem.ModifierCodeSet No 52.0
name String Name of the care request item. Maps to CareRequestItem.Name No 46.0
priority String The priority representing the urgency of the item's authorization request. Maps to CareRequestItem.Priority No 57.0
procedureCodeSet String The code set for the service, drug, or device associated with the care request item. Maps to CareRequestItem.ProcedureCodeSet No 52.0
quantity Integer The quantity of the item that is requested. Maps to: CareRequestItem.Quantity No 46.0
quantityType String Quantity type for the request such as days, units, or visits. Maps to: CareRequestItem.QualityType No 46.0
reasonCode String The reason justifying the care request of the item. Maps to: CareRequestItem.ReasonCode No 57.0
requestType String The type of item request. Maps to: CareRequestItem.RequestType No 57.0
requestedLength​OfStay Integer The number of days requested for the admission. Maps to: CareRequestItem.RequestedLengthOfStay No 52.0
requestedLevel​OfCare String Specifies the requested level of care for the patient. Maps to: CareRequestItem.RequestedLevelOfCare No 52.0
requestedService​EndDate String The end date of the requested service. Maps to: CareRequestItem.RequestedServiceEndDate No 52.0
requestedService​StartDate String The start date of the requested service. Maps to: CareRequestItem.RequestedServiceStartDate No 52.0
responseDateTime String The date and time when the response was sent for the drug request. No 63.0
serviceCategory String Name of the service type such as medical care, diagnostic radiology, pharmacy, or diagnostic laboratory. Maps to: CareRequestItem.ServiceCategory No 46.0
serviceCategory​Code String Alphanumeric code that uniquely identifies a service type. Maps to: CareRequestItem.ServiceCategoryCode No 46.0
servicingFacility Servicing Facility Input The facility where a patient receives service of the requested item. Maps to: CareRequestItem.ServicingFacility No 57.0
servicingProvider Servicing Practitioner Input The healthcare provider who provides the service of the requested item. Maps to: CareRequestItem.ServicingProvider No 57.0
sourceSystem String System from which the request was sourced. Maps to: CareRequestItem.SourceSystem No 46.0
sourceSystem​Identifier String ID of the system from which the request was sourced. Maps to: CareRequestItem.SourceSystemIdentifier No 46.0
sourceSystem​Modified String Timestamp of the most recent update from the source system. Maps to: CareRequestItem.SourceSystemModified No 46.0
status String The authorization status of this service. Maps to: CareRequestItem.Status No 46.0
statusReason String Reason for the authorization status of this service. Maps to: CareRequestItem.StatusReason No 46.0
submittedDateTime String The date and time when the drug request was submitted. This is unavailable for PATCH requests. Yes 63.0
transactionNumber Integer The transaction number assigned to the drug request. This is unavailable for PATCH requests. No 63.0