# Submit Prior Authorization

> Perform Submit Prior Authorization through Noridian.

Source: [https://genhealth.ai/docs/workflows/integrations/noridian/noridian_submit_prior_auth](https://genhealth.ai/docs/workflows/integrations/noridian/noridian_submit_prior_auth)

Integration: [Noridian](https://genhealth.ai/docs/workflows/integrations/noridian.md)

- Handler: `noridian_submit_prior_auth`

- Connection type: `noridian`

## Inputs

- `jurisdiction` — Jurisdiction (select)
  Optional selected identifier or value.
  Default: `"A"`
  Options: DME A ("A"), DME D ("D")
- `member_id` — Member Id (expression, required)
  Required literal value or workflow expression.
- `patient_first_name` — Patient First Name (expression, required)
  Required literal value or workflow expression.
- `patient_last_name` — Patient Last Name (expression, required)
  Required literal value or workflow expression.
- `hcpcs` — Hcpcs (expression, required)
  Required literal value or workflow expression.
- `patient_birth_date` — Patient Birth Date (date, required)
  Required date in YYYY-MM-DD format.
- `submission_fields` — Submission Fields (json, required)
  Required JSON value.
- `document_id` — Document Id (expression, required)
  Required literal value or workflow expression.

## Outputs

- `success` — Success
- `status` — Status
- `reference_number` — Reference Number
- `results_available` — Results Available
- `authorization_records` — Authorization Records
- `recheck_after_seconds` — Recheck After Seconds
- `retryable` — Retryable
- `error` — Error

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

```json
{
  "type": "object",
  "required": [
    "member_id",
    "patient_first_name",
    "patient_last_name",
    "hcpcs",
    "patient_birth_date",
    "submission_fields",
    "document_id"
  ],
  "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"
    },
    "document_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"
    },
    "patient_last_name": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    },
    "submission_fields": {
      "description": "Required JSON value.",
      "x-workflow-field-type": "json"
    },
    "patient_birth_date": {
      "type": "string",
      "format": "date",
      "description": "Required date in YYYY-MM-DD format.",
      "x-workflow-field-type": "date"
    },
    "patient_first_name": {
      "description": "Required literal value or workflow expression.",
      "x-workflow-field-type": "expression"
    }
  },
  "additionalProperties": false
}
```

### Output schema

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