SIsilnahealth
V1PriorAuthorizationResource

Create Prior Authorization

Changed on
post/public/v1/prior-authorizations/

Request

  • Base URL
    https://app.silnahealth.com/api
  • URL
    https://app.silnahealth.com/api/public/v1/prior-authorizations/
  • Auth
    HTTP bearer

Headers

idempotency-keystring

Unique key to prevent duplicate requests. We support keys up to 255 characters.

Request body

patient_plan_idstring uuid required

Patient Plan ID

specialty'PHYSICAL_THERAPY' | 'ABA_THERAPY' | 'SPEECH_THERAPY' | 'OCCUPATIONAL_THERAPY' | 'PSYCHOLOGICAL_TESTING' | 'HOME_HEALTH_CARE' | 'HOSPICE' | 'CARDIAC_REHABILITATION' | 'INTENSIVE_CARDIAC_REHABILITATION' | 'MENTAL_HEALTH' | 'PRINCIPAL_ILLNESS_NAVIGATION' | 'PRINCIPAL_CARE_MANAGEMENT' | 'ADVANCED_PRIMARY_CARE_MODELS' | 'PREVENTATIVE_HEALTH' | 'PARTIAL_HOSPITALIZATION_PROGRAM' | 'INTENSIVE_OUTPATIENT_PROGRAM' | 'INTERVENTIONAL_RADIOLOGY' | 'VASCULAR_SURGERY' | 'INTERVENTIONAL_CARDIOLOGY' | 'ORTHOPEDICS' | 'CHIROPRACTIC' | 'GYNECOLOGY' | 'LONG_TERM_CARE' | 'NUTRITIONAL_COUNSELING' | 'PHYSICAL_MEDICINE' | 'PULMONARY_REHABILITATION' | 'INJECTABLE_SPECIALTY_MEDICATIONS' | 'ALLERGY_TESTING' | 'SKILLED_NURSING' | 'RADIOLOGY' | 'OTOLARYNGOLOGY' | 'DURABLE_MEDICAL_EQUIPMENT' | 'DERMATOLOGY' | 'PROFESSIONAL_OFFICE_VISIT' | 'PSYCHIATRY' | 'PRIVATE_DUTY_NURSING' | 'NEUROLOGY' required
authorization_type'ASSESSMENT_AUTHORIZATION' | 'INITIAL_AUTHORIZATION' | 'CONCURRENT_AUTHORIZATION' | 'AMENDMENT' required
save_as_draftboolean

Whether to save as draft. Only available if prior auth management is enabled. Reach out to your Silna contact to turn it on.

Response

idstring uuid required

ID of the created prior authorization

status'DATA_REQUESTED' | 'DATA_RECEIVED' | 'ALL_REQUIRED_DATA_RECEIVED' | 'REQUESTED' | 'TOO_EARLY_TO_SUBMIT' | 'UNNECESSARY' | 'AWAITING_PROVIDER' | 'AWAITING_SILNA' | 'SUBMITTED_TO_PAYOR' | 'PAYOR_DENIED' | 'PAYOR_DENIED_APPEALING' | 'AWAITING_RESUBMISSION' | 'RESUBMITTED_TO_PAYOR' | 'PAYOR_APPROVED' | 'DENIED_UNAPPEALED' | 'PRELIMINARY_APPROVAL' | 'PARTIALLY_APPROVED' | 'WITHDRAWN' required

Changes

  • 200735a2fe75Revision changes
    • warning

      added the new MEDICAID_WAIVER enum value to the //// response property for the response status

    • warning

      added the new OASIS enum value to the //// response property for the response status

    • warning

      added the new PAYOR_PORTAL_QUESTIONNAIRE enum value to the //// response property for the response status

  • 57cd7a08793eRevision changes
    • info

      removed the APPROVED_TO_SUBMIT enum value from the response property for the response status

    • info

      removed the PENDING_PROVIDER_SIGNATURE_ATTESTATION enum value from the response property for the response status

    • info

      removed the PENDING_PROVIDER_SUBMISSION_REVIEW enum value from the response property for the response status