CareCentrix integration

Submit Prior Auth

Perform Submit Prior Auth through CareCentrix.

View as Markdown

carecentrix_submit_prior_auth

writecarecentrix

Inputs

document_id
expressionrequired
Document Id
Required literal value or workflow expression.
force
boolean
Force
Optional true-or-false value.
Default: false
headless
boolean
Headless
Optional true-or-false value.
Default: true
debug
boolean
Debug
Optional true-or-false value.
Default: false
lock_wait_minutes
number
Lock Wait Minutes
Optional numeric value.
Default: 15
patient_first_name
expression
Patient First Name
Optional literal value or workflow expression.
patient_last_name
expression
Patient Last Name
Optional literal value or workflow expression.
patient_date_of_birth
date
Patient Date Of Birth
Optional date in YYYY-MM-DD format.
patient_address
expression
Patient Address
Optional literal value or workflow expression.
patient_city
expression
Patient City
Optional literal value or workflow expression.
patient_state
expression
Patient State
Optional literal value or workflow expression.
patient_zip
expression
Patient Zip
Optional literal value or workflow expression.
patient_county
expression
Patient County
Optional literal value or workflow expression.
patient_phone
expression
Patient Phone
Optional literal value or workflow expression.
patient_gender
expression
Patient Gender
Optional literal value or workflow expression.
insurance_payer_name
expression
Insurance Payer Name
Optional literal value or workflow expression.
insurance_member_id
expression
Insurance Member Id
Optional literal value or workflow expression.
insurance_group_number
expression
Insurance Group Number
Optional literal value or workflow expression.
insurance_policy_holder_name
expression
Insurance Policy Holder Name
Optional literal value or workflow expression.
provider_npi
expression
Provider Npi
Optional literal value or workflow expression.
provider_first_name
expression
Provider First Name
Optional literal value or workflow expression.
provider_last_name
expression
Provider Last Name
Optional literal value or workflow expression.
service_date
date
Service Date
Optional date in YYYY-MM-DD format.
diagnosis_codes
repeatable_group
Diagnosis Codes
Optional list of structured items.
- code
  expressionrequired
  Code
  Required literal value or workflow expression.
diagnosis_codes_replace
boolean
Diagnosis Codes Replace
Optional true-or-false value.
Default: false
order_items
repeatable_group
Order Items
Optional list of structured items.
- hcpcs_code
  expressionrequired
  Hcpcs Code
  Required literal value or workflow expression.
- quantity
  number
  Quantity
  Optional numeric value.
- modifier
  expression
  Modifier
  Optional literal value or workflow expression.
- start_date
  date
  Start Date
  Optional date in YYYY-MM-DD format.
- end_date
  date
  End Date
  Optional date in YYYY-MM-DD format.
order_items_replace
boolean
Order Items Replace
Optional true-or-false value.
Default: false

Outputs

successSuccess
statusStatus
reference_numberReference Number
authorization_numberAuthorization Number
denial_reasonDenial Reason
approved_unitsApproved Units
effective_dateEffective Date
expiration_dateExpiration Date
notesNotes
issuesIssues
screenshotsScreenshots
duration_msDuration Ms
messageMessage
failure_categoryFailure Category
errorError

Output schema completeness: best_effort_declared

Safety

External effect: write
Confirmation recommended: No
Retry safe: No
Dry run supported: No

Schemas

These schemas are first-pass authoring guidance. Runtime validation remains authoritative.

Input schema

{
  "type": "object",
  "required": [
    "document_id"
  ],
  "properties": {
    "debug": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "force": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "headless": {
      "type": "boolean",
      "default": true,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "document_id": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "order_items": {
      "type": "array",
      "items": {
        "type": "object",
        "required": [
          "hcpcs_code"
        ],
        "properties": {
          "end_date": {
            "type": "string",
            "format": "date",
            "description": "Optional date in YYYY-MM-DD format.",
            "x-workflow-field-type": "date"
          },
          "modifier": {
            "description": "Optional literal value or workflow expression.",
            "x-workflow-field-type": "expression"
          },
          "quantity": {
            "type": "number",
            "description": "Optional numeric value.",
            "x-workflow-field-type": "number"
          },
          "hcpcs_code": {
            "description": "Required literal value or workflow expression.",
            "x-workflow-field-type": "expression"
          },
          "start_date": {
            "type": "string",
            "format": "date",
            "description": "Optional date in YYYY-MM-DD format.",
            "x-workflow-field-type": "date"
          }
        },
        "additionalProperties": false
      },
      "description": "Optional list of structured items.",
      "x-workflow-field-type": "repeatable_group"
    },
    "patient_zip": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_city": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_npi": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "service_date": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "patient_phone": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_state": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_county": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_gender": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "diagnosis_codes": {
      "type": "array",
      "items": {
        "type": "object",
        "required": [
          "code"
        ],
        "properties": {
          "code": {
            "description": "Required literal value or workflow expression.",
            "x-workflow-field-type": "expression"
          }
        },
        "additionalProperties": false
      },
      "description": "Optional list of structured items.",
      "x-workflow-field-type": "repeatable_group"
    },
    "patient_address": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "lock_wait_minutes": {
      "type": "number",
      "default": 15,
      "description": "Optional numeric value.",
      "x-workflow-field-type": "number"
    },
    "patient_last_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_first_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "provider_last_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "insurance_member_id": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "order_items_replace": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "provider_first_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "insurance_payer_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_date_of_birth": {
      "type": "string",
      "format": "date",
      "description": "Optional date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "insurance_group_number": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "diagnosis_codes_replace": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "insurance_policy_holder_name": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}

Output schema

{
  "type": "object",
  "properties": {
    "error": {},
    "notes": {},
    "issues": {},
    "status": {},
    "message": {},
    "success": {},
    "duration_ms": {},
    "screenshots": {},
    "denial_reason": {},
    "approved_units": {},
    "effective_date": {},
    "expiration_date": {},
    "failure_category": {},
    "reference_number": {},
    "authorization_number": {}
  },
  "additionalProperties": true
}

View all CareCentrix actions