UnitedHealthcare · Schema
UnitedHealthcare Prior Auth Check Response
Prior authorization requirement and status response
Health InsuranceHealthcareFHIRClaimsEligibility
Properties
| Name | Type | Description |
|---|---|---|
| authorizationRequired | boolean | Whether prior auth is required |
| authorizationStatus | string | Authorization status |
| authorizationNumber | string | Authorization number |
| validFromDate | string | Auth valid from |
| validToDate | string | Auth valid to |
| approvedUnits | integer | Approved units/visits |
| referralRequired | boolean | Referral required |
JSON Schema
{
"$schema": "https://json-schema.org/draft/2020-12/schema",
"$id": "https://raw.githubusercontent.com/api-evangelist/unitedhealthcare/refs/heads/main/json-schema/provider-prior-auth-check-response-schema.json",
"title": "UnitedHealthcare Prior Auth Check Response",
"description": "Prior authorization requirement and status response",
"type": "object",
"properties": {
"authorizationRequired": {
"type": "boolean",
"description": "Whether prior auth is required"
},
"authorizationStatus": {
"type": "string",
"enum": [
"NOT_REQUIRED",
"REQUIRED",
"APPROVED",
"PENDING",
"DENIED"
],
"description": "Authorization status"
},
"authorizationNumber": {
"type": "string",
"description": "Authorization number"
},
"validFromDate": {
"type": "string",
"format": "date",
"description": "Auth valid from"
},
"validToDate": {
"type": "string",
"format": "date",
"description": "Auth valid to"
},
"approvedUnits": {
"type": "integer",
"description": "Approved units/visits"
},
"referralRequired": {
"type": "boolean",
"description": "Referral required"
}
}
}
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