Noridian integration

Check Prior Authorization

Perform Check Prior Authorization through Noridian.

View as Markdown

noridian_check_prior_auth

readnoridian

Inputs

jurisdiction
select
Jurisdiction
Optional selected identifier or value.
Default: "A"
Options: DME A ("A"), DME D ("D")
member_id
expressionrequired
Member Id
Required literal value or workflow expression.
patient_first_name
expressionrequired
Patient First Name
Required literal value or workflow expression.
patient_last_name
expressionrequired
Patient Last Name
Required literal value or workflow expression.
hcpcs
expressionrequired
Hcpcs
Required literal value or workflow expression.
reference_number
expression
Reference Number
Optional literal value or workflow expression.

Outputs

successSuccess
statusStatus
reference_numberReference Number
results_availableResults Available
authorization_recordsAuthorization Records
recheck_after_secondsRecheck After Seconds
retryableRetryable
errorError

Output schema completeness: best_effort_declared

Safety

External effect: read
Confirmation recommended: No
Retry safe: Yes
Dry run supported: No

Schemas

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

Input schema

{
  "type": "object",
  "required": [
    "member_id",
    "patient_first_name",
    "patient_last_name",
    "hcpcs"
  ],
  "properties": {
    "hcpcs": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "member_id": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "jurisdiction": {
      "enum": [
        "A",
        "D"
      ],
      "type": "string",
      "default": "A",
      "description": "Optional selected identifier or value.",
      "x-workflow-field-type": "select"
    },
    "reference_number": {
      "description": "Optional literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_last_name": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "patient_first_name": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}

Output schema

{
  "type": "object",
  "properties": {
    "error": {},
    "status": {},
    "success": {},
    "retryable": {},
    "reference_number": {},
    "results_available": {},
    "authorization_records": {},
    "recheck_after_seconds": {}
  },
  "additionalProperties": true
}

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