AssignedToId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The user assigned to the care benefit verify request.
- This field is a relationship field.
- This field is available in API version 62.0 and later.
- Relationship Name
- AssignedTo
- Refers To
- User
|
AuthorizedPrescriptionId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The authorized prescription associated with the care benefit
verify request.
- This field is a relationship field.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- AuthorizedPrescription
- Relationship Type
- Lookup
- Refers To
- MedicationRequest
|
BenefitCategoryCodeId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The benefit category code associated with the care benefit verify
request.
- This field is a relationship field.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- BenefitCategoryCode
- Relationship Type
- Lookup
- Refers To
- CodeSet
|
BillablePrdEndDateTime |
- Type
- dateTime
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- The date and time when billable period ended.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
|
BillablePrdStartDateTime |
- Type
- dateTime
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- The date and time when billable period started.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
|
CareProgramEnrolleeId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The care program enrollee associated with the care benefit verify
request.
- This field is a relationship field.
- This field is available in API version 62.0 and later.
- Relationship Name
- CareProgramEnrollee
- Refers To
- CareProgramEnrollee
|
CareProgramId |
- Type
- reference
- Properties
- Filter, Group, Nillable, Sort
- Description
- The care program associated with the care benefit verify
request.
- This field is a relationship field.
- This field is available in API version 62.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- CareProgram
- Refers To
- CareProgram
|
CaseId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- Identifies the associated case.
- This field is a relationship field.
- Relationship Name
- Case
- Relationship Type
- Lookup
- Refers To
- Case
|
CoverageBenefitId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- Identifies the set of services covered by the insurance plan.
- This field is a relationship field.
- Relationship Name
- CoverageBenefit
- Relationship Type
- Lookup
- Refers To
- CoverageBenefit
|
InitialFillDuration |
- Type
- double
- Properties
- Filter, Nillable, Sort
- Description
- The initial fill duration of the authorized prescription.
- This field is available in API version 62.0 and later with the
Manage Pharmacy Benefits Verification permission set.
|
InitialFillQuantity |
- Type
- double
- Properties
- Filter, Nillable, Sort
- Description
- The initial fill quantity of the authorized prescription.
- This field is available in API version 62.0 and later with the
Manage Pharmacy Benefits Verification permission set.
|
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.
|
MemberPlanId |
- Type
- reference
- Properties
- Create, Filter, Group, Sort
- Description
- Identifies the member plan that includes the benefit item being
verified.
- This field is a relationship field.
- Relationship Name
- MemberPlan
- Relationship Type
- Lookup
- Refers To
- MemberPlan
|
Name |
- Type
- string
- Properties
- Autonumber, Defaulted on create, Filter, idLookup, Sort
- Description
- The name of the care benefit verification request.
|
OriginalPrescriptionId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The original prescription associated with the care benefit verify
request.
- This field is a polymorphic relationship field.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- OriginalPrescription
- Relationship Type
- Lookup
- Refers To
- MedicationRequest
|
PayerId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The payer associated with the care benefit verify request.
- This field is a relationship field.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- Payer
- Relationship Type
- Lookup
- Refers To
- Account
|
PlanId |
- Type
- reference
- Properties
- Filter, Group, Nillable, Sort
- Description
- The purchaser plan from the member plan associated with the care
program enrollee.
- This field is a relationship field.
- This field is available in API version 62.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- Plan
- Refers To
- PurchaserPlan
|
PrescriberId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The prescriber associated with the care benefit verify
request.
- This field is a relationship field.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- Prescriber
- Relationship Type
- Lookup
- Refers To
- HealthcareProvider
|
PrescriptionMedicationId |
- Type
- reference
- Properties
- Filter, Group, Nillable, Sort
- Description
- The medication code or medication name of the authorized
prescription.
- This field is a polymorphic relationship field.
- This field is available in API version 62.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- PrescriptionMedication
- Refers To
- CodeSetBundle, Medication
|
PriorityCodeId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The priority code associated with the care benefit verify
request.
- This field is a relationship field.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- PriorityCode
- Relationship Type
- Lookup
- Refers To
- CodeSet
|
ProviderId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The provider of the care benefit verify request.
- This field is a polymorphic relationship field.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- Provider
- Relationship Type
- Lookup
- Refers To
- Account, HealthcareProvider
|
RelatedCareBnftVerifyRequestId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The original care benefit verify request from which the current
request is cloned.
- This field is a relationship field.
- This field is available in API version 62.0 and later.
- Relationship Name
- RelatedCareBnftVerifyRequest
- Refers To
- CareBenefitVerifyRequest
|
RequestDate |
- Type
- dateTime
- Properties
- Create, Filter, Nillable, Sort, Update
- Description
- Date of verification request.
|
RequestedById |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- Person or organization requesting verification.
- This field is a relationship field.
- Relationship Name
- RequestedBy
- Relationship Type
- Lookup
- Refers To
- User
|
RequesterId |
- Type
- reference
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The requester associated with the care benefit verify
request.
- This field is a polymorphic relationship field.
- This field is available in API version 61.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Relationship Name
- Requester
- Relationship Type
- Lookup
- Refers To
- Account, HealthcareProvider
|
ResponseBody |
- Type
- base64
- Properties
- Create, Nillable, Update
- Description
- Full JSON response from external system.
|
ResponseContentType |
- Type
- picklist
- Properties
- Create, Filter, Group, Nillable, Restricted picklist, Sort,
Update
- Description
- The content type of the response from the external system.
- Possible values are:
- application/html
- application/java-archive
- application/javascript
- application/json
- application/msword
- application/octet-stream
- application/octet-stream;type=unknown
- application/opx
- application/pdf
- application/postscript
- application/rtf
- application/vnd.box.notes
- application/vnd.google-apps.document
- application/vnd.google-apps.drawing
- application/vnd.google-apps.form
- application/vnd.google-apps.presentation
- application/vnd.google-apps.script
- application/vnd.google-apps.spreadsheet
- application/vnd.ms-excel
- application/vnd.ms-excel.sheet.macroEnabled.12
- application/vnd.ms-infopath
- application/vnd.ms-powerpoint
- application/vnd.ms-powerpoint.presentation.macroEnabled.12
- application/vnd.ms-word.document.macroEnabled.12
- application/vnd.oasis.opendocument.presentation
- application/vnd.oasis.opendocument.spreadsheet
- application/vnd.oasis.opendocument.text
- application/vnd.openxmlformats-officedocument.presentationml.presentation
- application/vnd.openxmlformats-officedocument.presentationml.slideshow
- application/vnd.openxmlformats-officedocument.presentationml.template
- application/vnd.openxmlformats-officedocument.spreadsheetml.sheet
- application/vnd.openxmlformats-officedocument.spreadsheetml.template
- application/vnd.openxmlformats-officedocument.wordprocessingml.document
- application/vnd.openxmlformats-officedocument.wordprocessingml.template
- application/vnd.visio
- application/x-gzip
- application/x-java-source
- application/x-javascript
- application/x-shockwave-flash
- application/x-sql
- application/x-zip-compressed
- application/xhtml+xml
- application/xml
- application/zip
- audio/mp4
- audio/mpeg
- audio/ogg
- audio/x-aac
- audio/x-ms-wma
- audio/x-ms-wmv
- audio/x-wav
- image/bmp
- image/gif
- image/jpeg
- image/jpeg;type=mobile
- image/png
- image/svg+xml
- image/tiff
- image/vnd.adobe.photoshop
- image/vnd.dwg
- image/x-photoshop
- message/rfc822
- model/vnd.usdz+zip
- text/css
- text/csv
- text/html
- text/plain
- text/rtf
- text/snote
- text/stypi
- text/vnd.salesforce.quip-chat
- text/vnd.salesforce.quip-doc
- text/vnd.salesforce.quip-sheet
- text/vnd.salesforce.quip-slides
- text/vnd.salesforce.quip-template
- text/vtt
- text/webviewhtml
- text/x-c
- text/x-c++
- text/xml
- video/mp4
- video/mpeg
- video/ogg
- video/quicktime
- video/x-m4v
- video/x-ms-asf
- video/x-msvideo
|
ResponseLength |
- Type
- int
- Properties
- Filter, Group, Nillable, Sort
- Description
- The length of the response from the external system.
|
ResponseName |
- Type
- string
- Properties
- Create, Filter, Group, Nillable, Sort, Update
- Description
- The name of the response from the external system.
|
Status |
- Type
- picklist
- Properties
- Create, Filter, Group, Nillable, Restricted picklist, Sort,
Update
- Description
- Status of the verification request.
- Possible values are:
- Acknowledged
- Completed
- Copy
- Error
- Partial
- Pending
- Rejected
-
TimedOut—Timed
Out
- Verified
- Pending
Confirmation
- Receieved
Confirmation
- Ready for
Verification
|
StatusReason |
- Type
- textarea
- Properties
- Create, Nillable, Update
- Description
- The reason for the specified status of the care benefit
verification request.
|
VerificationMode |
- Type
- picklist
- Properties
- Create, Filter, Group, Nillable, Restricted picklist, Sort, Update
- Description
- Specifies the mode of verification used in the care benefit verify
request.
- This field is available in API version 63.0 and later with the
Manage Pharmacy Benefits Verification permission set.
- Possible values are:
|