Care Authorization Request

Output of create or update request for care services review.

Property NameTypeDescriptionFilter Group and VersionAvailable Version
careDiagnosesCare Diagnoses[]A list of associated diagnoses including code type, name, and description. One or more care diagnoses can be associated with a care request.Big, 46.046.0
careRequestCare RequestThe 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.Big, 46.046.0
careRequestCaseCare Request CaseCase related to the care request.Big, 46.046.0
careRequestDrugsCare Request Drug[]A list of requested drugs including name, strength, frequency, and instructions for administration. One or more drug requests can be associated with a care request.Big, 46.046.0
careRequestItemsCare Request Item[]A list of care request items containing name, modifiers, and the effective date. One or more care service requests can be associated with a care request.Big, 46.046.0
patientPatientThe patient for whom the request is raised.Big, 46.046.0
subscriberSubscriberThe primary member on the plan.Big, 46.046.0
tracked​CommunicationsTracked Communication​ Output[]A list of tracked communications for a care request.Big, 57.057.0
transportLocationsTransport Locations[]Transport location output.Big, 46.046.0