53.114    Prior Authorization Documentation Templates and Requirements 53.116    Privacy Security Notice   

53.141.1Prior Authorization Support

 

The Prior Authorization Support configuration category includes the following configurable options:

  • Organization identifier code system NPI

  • Intermediary System Organization Reference

  • Payer System Item TRN

  • Practitioner identifier code system NPI

53.141.2Property: Organization identifier code system NPI

 
Property Name Organization identifier code system NPI
Property Key
Property Type STRING_MULTILINE
Description The system used to match Organization identifier, when trying to find corresponding matching Prior Auth Support Organization resource. NOTE: Does not apply to Claim.insurer search.
Applies to Modules
  • Prior Auth Support
Default Value (no default)
Example Property
module.[MODULE_ID].config.organization_npi_identifier_code_systems = 

53.141.3Property: Intermediary System Organization Reference

 
Property Name Intermediary System Organization Reference
Property Key
Property Type STRING
Description The reference to the Intermediary System's Organization resource in the repository. It should be pre-seeded or created before invoking any PAS operations and will serve as the agent reference of type Author when a Provenance resource is generated for an immediate PAS response.
Applies to Modules
  • Prior Auth Support
Default Value (no default)
Example Property
module.[MODULE_ID].config.payer_organization_reference = Organization/SmileDigitalHealth

53.141.4Property: Payer System Item TRN

 
Property Name Payer System Item TRN
Property Key
Property Type STRING_MULTILINE
Description The system to match the item transaction trace numbers from the payer. (e.g. item-1 item-2, item-3)
Applies to Modules
  • Prior Auth Support
Default Value (no default)
Example Property
module.[MODULE_ID].config.payer_system_item_trn = 

53.141.5Property: Practitioner identifier code system NPI

 
Property Name Practitioner identifier code system NPI
Property Key
Property Type STRING_MULTILINE
Description The system used to match Practitioner identifier, when trying to find corresponding matching Prior Auth Support Practitioner resource.
Applies to Modules
  • Prior Auth Support
Default Value (no default)
Example Property
module.[MODULE_ID].config.practitioner_npi_identifier_code_systems = 
   53.114    Prior Authorization Documentation Templates and Requirements 53.116    Privacy Security Notice