Care Authorization Request Response

The response body for the Care Services Review GET request.

JSON example 

1{
2  "careAuthorizationRequests": [
3    {
4      "careDiagnoses": [
5        {
6          "careRequestReviewers": [],
7          "healthConditionId": "0j4RM0000004Mk9YAE",
8          "id": "0VCRM0000004COJ4A2",
9          "modifiedPrimaryDiagnosis": false,
10          "name": "CD Connect 1.0",
11          "presentOnAdmission": "Yes",
12          "primary": false,
13          "primaryDischargeDiagnosis": false
14        }
15      ],
16      "careRequest": {
17        "appointedRepresentative": {},
18        "authorizationRefIdentifier": "1234",
19        "careRequestReviewers": [],
20        "caseSubStatus": "active",
21        "extendedRequest": false,
22        "firstReviewer": {},
23        "generalPractitioner": {
24          "generalPractitionerNpi": "1234"
25        },
26        "id": "0UmRM0000004HOG0A2",
27        "initialDenialNotificationTime": "",
28        "isIndependentReviewRequired": false,
29        "isReadmission": false,
30        "lastModifiedDate": "2022-11-29T15:39:56.000Z",
31        "medicalDirector": {},
32        "member": "001RM000005XHdbYAG",
33        "memberPrimaryPlan": "Gold Plan",
34        "originalDenialMedicalDirector": {},
35        "reconsiderationDenialNotificationTime": "",
36        "recordType": "Admission",
37        "reopenedBy": {},
38        "requestingPractitioner": {
39          "healthCareProviderId": "0cmRM0000000tldYAA",
40          "requestingPractitionerNpi": "742963"
41        },
42        "serviceorMedicationReceived": false,
43        "servicingFacility": {
44          "servicingFacilityId": "0klRM0000004CBnYAM",
45          "servicingFacilityNpi": "742963"
46        },
47        "servicingPractitioner": {
48          "servicingPractitionerNpi": "1234"
49        }
50      },
51      "careRequestCase": {
52        "caseNumber": "00001078",
53        "caseOrigin": "Web",
54        "caseOwner": "Chiranjeevi User",
55        "closed": false,
56        "createdBy": "005RM000002dmjJYAQ",
57        "dateOpened": "2022-11-29T15:39:56.000Z",
58        "escalated": false,
59        "lastModifiedBy": "005RM000002dmjJYAQ",
60        "lastModifiedDate": "2022-11-29T15:39:56.000Z",
61        "lastReferencedDate": "2022-11-29T15:39:56.000Z",
62        "lastViewedDate": "2022-11-29T15:39:56.000Z",
63        "priority": "Medium",
64        "status": "New"
65      },
66      "careRequestDrugs": [
67        {
68          "authApprovalIdentifier": "123",
69          "authorizationRefIdentifier": "123",
70          "careRequestReviewers": [],
71          "dispenserAddress": {},
72          "drugAdministrationSetting": "Inpatient",
73          "id": "0VDRM0000004Cla4AE",
74          "medicationRefObjectId": "0kmRM0000004CSeYAM",
75          "name": "CRD Connect 1.0",
76          "priority": "Routine",
77          "requestType": "Filler Order",
78          "servicingFacility": {
79            "servicingFacilityId": "0klRM0000004CBnYAM",
80            "servicingFacilityNpi": "742963"
81          },
82          "servicingProvider": {
83            "healthCareProviderId": "0cmRM0000000tldYAA",
84            "servicingPractitionerNpi": "1234"
85          },
86          "status": "Active",
87          "statusReason": "Insufficient Information"
88        }
89      ],
90      "careRequestItems": [
91        {
92          "authApprovalIdentifier": "123",
93          "authorizationRefIdentifier": "123",
94          "careRequestReviewers": [],
95          "clinicalServiceRequestId": "0jyRM0000004CAGYA2",
96          "id": "0VKRM0000004CPd4AM",
97          "name": "CRI Connect-1.0",
98          "priority": "Stat",
99          "reasonCode": "0hsRM00000003ytYAA",
100          "requestType": "Order",
101          "servicingFacility": {
102            "servicingFacilityId": "0klRM0000004CBnYAM",
103            "servicingFacilityNpi": "742963"
104          },
105          "servicingProvider": {
106            "healthCareProviderId": "0cmRM0000000tldYAA",
107            "servicingPractitionerNpi": "1234"
108          }
109        }
110      ],
111      "patient": {
112        "firstName": "Charles",
113        "lastName": "Green",
114        "memberId": "001RM000005XHdbYAG"
115      },
116      "subscriber": {},
117      "trackedCommunications": [
118        {
119          "categories": [
120            "0hsRM00000003ytYAA"
121          ],
122          "mediums": [
123            "0hsRM00000003ytYAA"
124          ],
125          "name": "CX Label Test",
126          "notes": [
127            "0nNRM00000000272AA"
128          ],
129          "payloads": [
130            {
131              "authorNoteId": "0nNRM00000000272AA",
132              "codeSetBundleId": "0hsRM00000003ytYAA"
133            }
134          ],
135          "priority": "Urgent",
136          "reasonCodes": [
137            "0hsRM00000003ytYAA"
138          ],
139          "recipients": [
140            "001RM000005ZZgSYAW"
141          ],
142          "replacedItems": [
143            "108RM0000004C9IYAU"
144          ],
145          "status": "Active",
146          "statusReason": "Unknown",
147          "type": "COMMUNICATIONREQUEST"
148        }
149      ],
150      "transportLocations": []
151    }
152  ],
153  "errorMessage": "",
154  "isSuccess": true
155}

Properties 

Property NameTypeDescriptionFilter Group and VersionAvailable Version
careAuthorizationRequestsCare Authorization Request[]A list of care authorization requests.Small, 46.046.0
errorMessageStringIf the parameters were invalid, this property contains the error message.Small, 46.046.0
isSuccessBooleanThis flag indicates if the request was successful or not.Small, 46.046.0

When you call the CareAuthorization GET API with the sectionNames attribute set, empty sections may appear in the response body. This is normal and can be ignored.

Note