CareProcessingError

Stores information on processing errors sent from payer to provider on a member’s authorization request. This object is available in API version 58.0 and later.

Supported Calls

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

Fields

ActionCodeId

Type: reference
Properties: Create, Filter, Group, Nillable, Sort, Update
Description: The code that’s associated with the resolution of the error that occurred when processing an authorization request.

This field is a polymorphic relationship field.
Relationship Name: ActionCode
Relationship Type: Lookup
Refers To: CodeSet, CodeSetBundle

Description

Type: string
Properties: Create, Filter, Group, Sort, Update
Description: The description of the error.

ErrorCodeId

Type: reference
Properties: Create, Filter, Group, Sort, Update
Description: The code that’s associated with the error that occurred when processing an authorization request.

This field is a polymorphic relationship field.
Relationship Name: ErrorCode
Relationship Type: Lookup
Refers To: CodeSet, CodeSetBundle

LastModifiedById

Type: dateTime
Properties: Filter, Nillable, Sort
Description: The ID of the user who last updated the record.

LastModifiedDate

Type: dateTime
Properties: Filter, Nillable, Sort
Description: The most recent date on which a user updated the record.

Name

Type: string
Properties: Autonumber, Defaulted on create, Filter, idLookup, Sort
Description: The name of the care processing error.

OwnerId

Type: reference
Properties: Create, Defaulted on create, Filter, Group, Sort, Update
Description: The ID of the user who owns this record.

This field is a polymorphic relationship field.
Relationship Name: Owner
Relationship Type: Lookup
Refers To: Group, User

ReferenceObjectId

Type: reference
Properties: Create, Filter, Group, Sort, Update
Description: The object that’s associated with the error.

This field is a polymorphic relationship field.
Relationship Name: ReferenceObject
Relationship Type: Lookup
Refers To: CareDiagnosis, CareRequest, CareRequestDrug, CareRequestItem

Usage

When payer receives an authorization request from the provider, they review and validate the request details. If an error occurs during the request processing, payer must create appropriate care processing error records with reference to the care request record. This error information is sent to the provider as part of the request response. Alternatively, payers can also automate the record creation by configuring a flow that’s triggered whenever an authorization request is received in the payer system. The flow validates the care request record, identifies any error, and creates appropriate care processing error records to be sent to the provider.

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.

CareProcessingErrorChangeEvent (API Version 63.0): Change events are available for the object.
CareProcessingErrorFeed: Feed tracking is available for the object.
CareProcessingErrorHistory: History is available for tracked fields of the object.
CareProcessingErrorShare: Sharing is available for the object.