Create Prior Authorization

POST /public/v1/prior-authorizations

Create Prior Authorization

cURL

curl --request POST \
  --url https://app.silnahealth.com/api/public/v1/prior-authorizations/ \
  --header 'Authorization: Bearer <token>' \
  --header 'Content-Type: application/json' \
  --data '
{
  "patient_plan_id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "save_as_draft": false
}
'

201

{
  "id": "3c90c3cc-0d44-4b50-8888-8dd25736052a",
  "required_data": {
    "treatment_codes": {
      "required": true,
      "standards": []
    },
    "documents": {
      "required": true,
      "items": [
        {
          "required": true,
          "document_intelligence": {
            "validation_supported": true
          }
        }
      ]
    },
    "clinician_npi": {
      "required": true
    },
    "start_date": {
      "required": true
    }
  }
}

This endpoint supports idempotency keys

Authorizations

Authorization · string · header · required

Bearer authentication header of the form Bearer <token>, where <token> is your auth token.

Headers

idempotency-key · string

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

Required string length: 1 - 255

Body

application/json

patient_plan_id · string<uuid> · required

Patient Plan ID

specialty · enum<string> · required

Specialty for the prior authorization

Available options: 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

authorization_type · enum<string> · required

Type of authorization. Note: The following specialties are constrained to specific authorization types: Psychological Testing: Assessment authorization, Amendment

Available options: ASSESSMENT_AUTHORIZATION, INITIAL_AUTHORIZATION, CONCURRENT_AUTHORIZATION, AMENDMENT

save_as_draft · boolean · default: false

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

Response

201

application/json

id · string<uuid> · required

ID of the created prior authorization

status · enum<string> · required

Status of the prior authorization

Available options: DATA_REQUESTED, DATA_RECEIVED, ALL_REQUIRED_DATA_RECEIVED, REQUESTED, TOO_EARLY_TO_SUBMIT, UNNECESSARY, AWAITING_PROVIDER, PENDING_PROVIDER_SUBMISSION_REVIEW, AWAITING_SILNA, APPROVED_TO_SUBMIT, SUBMITTED_TO_PAYOR, PAYOR_DENIED, PAYOR_DENIED_APPEALING, PAYOR_APPROVED, DENIED_UNAPPEALED, PRELIMINARY_APPROVAL, PARTIALLY_APPROVED, WITHDRAWN

required_data · V1PriorAuthorizationRequiredData · object · required

Data required to complete the prior authorization request

Show child attributes