Carelon Post Acute integration

Prepare Authorization or Check Saved Draft

Perform Prepare Authorization or Check Saved Draft through Carelon Post Acute.

View as Markdown

carelon_post_acute_prepare_authorization

writecarelon_post_acute

Inputs

payer_id
text
Payer Id
Optional text value.
patient_id
text
Patient Id
Optional text value.
claim_id
text
Claim Id
Optional text value.
check_only
boolean
Check Only
Optional true-or-false value.
Default: false
source_fingerprint
text
Source Fingerprint
Optional text value.
persisted_documents
json
Persisted Documents
Optional JSON value.
order_id
textrequired
Order Id
Required text value.
insurance_id
textrequired
Insurance Id
Required text value.
configuration
jsonrequired
Configuration
Required JSON value.
mode
select
Mode
Optional selected identifier or value.
Default: "draft_only"
Options: Draft only ("draft_only"), Submit when ready ("submit_when_ready")

Outputs

successSuccess
outcomeOutcome
ready_for_documentsReady For Documents
payer_idPayer Id
source_fingerprintSource Fingerprint
excluded_productsExcluded Products
omitted_diagnosis_countOmitted Diagnosis Count
document_idsDocument Ids
packet_selection_statusPacket Selection Status
http_statusHttp Status
failure_categoryFailure Category
failure_stageFailure Stage
exception_typeException Type
code_locationCode Location
authorization_idAuthorization Id
observed_statusObserved Status
missing_document_reasonsMissing Document Reasons
provider_review_reasonsProvider Review Reasons
authorization_verifiedAuthorization Verified
questionnaire_verifiedQuestionnaire Verified
attachments_verifiedAttachments Verified
attachments_retainedAttachments Retained
reason_codeReason Code
errorError
outcome_categoryOutcome Category

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": [
    "order_id",
    "insurance_id",
    "configuration"
  ],
  "properties": {
    "mode": {
      "enum": [
        "draft_only",
        "submit_when_ready"
      ],
      "type": "string",
      "default": "draft_only",
      "description": "Optional selected identifier or value.",
      "x-workflow-field-type": "select"
    },
    "claim_id": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "order_id": {
      "type": "string",
      "description": "Required text value.",
      "x-workflow-field-type": "text"
    },
    "payer_id": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "check_only": {
      "type": "boolean",
      "default": false,
      "description": "Optional true-or-false value.",
      "x-workflow-field-type": "boolean"
    },
    "patient_id": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "insurance_id": {
      "type": "string",
      "description": "Required text value.",
      "x-workflow-field-type": "text"
    },
    "configuration": {
      "description": "Required JSON value.",
      "x-workflow-field-type": "json"
    },
    "source_fingerprint": {
      "type": "string",
      "description": "Optional text value.",
      "x-workflow-field-type": "text"
    },
    "persisted_documents": {
      "description": "Optional JSON value.",
      "x-workflow-field-type": "json"
    }
  },
  "additionalProperties": false
}

Output schema

{
  "type": "object",
  "properties": {
    "error": {},
    "outcome": {},
    "success": {},
    "payer_id": {},
    "http_status": {},
    "reason_code": {},
    "document_ids": {},
    "code_location": {},
    "failure_stage": {},
    "exception_type": {},
    "observed_status": {},
    "authorization_id": {},
    "failure_category": {},
    "outcome_category": {},
    "excluded_products": {},
    "source_fingerprint": {},
    "ready_for_documents": {},
    "attachments_retained": {},
    "attachments_verified": {},
    "authorization_verified": {},
    "questionnaire_verified": {},
    "omitted_diagnosis_count": {},
    "packet_selection_status": {},
    "provider_review_reasons": {},
    "missing_document_reasons": {}
  },
  "additionalProperties": true
}

View all Carelon Post Acute actions