GET api/groups/{groupid}/priorauths/{id}

Gets a single prior authorization by its uniqueidentifier and group

Request Information

URI Parameters

Name	Description	Type	Additional information
groupid	The group with which a prior auth is associated	integer	Required
id	The identifier representing a prior authorization	integer	Required

Body Parameters

None.

Response Information

Resource Description

A single prior authorization record matching the identifier passed in

PriorAuthorizationModel

Name	Description	Type	Additional information
GroupNo	Gets or sets Group identifier	integer	None.
FacilityBranchNo	Gets or sets the Facility Branch identifier	integer	None.
FacilityUrl	Gets or sets the Facility Url	string	None.
TransactionCode	Gets or sets the Transaction code	string	None.
MemberSeqNo	Gets or sets the Member sequence identifier	integer	None.
Member	Gets or sets the Member	MemberModel	None.
PrescriptionReferenceNumber	Gets or sets the Prescription reference number	string	None.
FillNumber	Gets or sets the Fill number	integer	None.
ProductID	Gets or sets the Product identifier	string	None.
DateOfService	Gets or sets the Date of Service	date	None.
SubmittedClaimNumber	Gets or sets the Submitted Claim number	string	None.
ResubmittedClaimNumber	Gets or sets the Resubmitted Claim number	string	None.
Approved	Gets or sets the Approved indicator	boolean	None.
Notes	Gets or sets the Notes	string	None.
PriorAuthPersistentNo	Gets or sets the Prior Auth Presistent identifier	integer	None.
PriorAuthPersistentUrl	Gets or sets the Prior Auth Persistent Url	string	None.
QuantityDispensed	Gets or sets the Quantity Dispensed	decimal number	None.
DaysSupply	Gets or sets the Days supply	integer	None.
CopayOverride	Gets or sets the Copay override	decimal number	None.
CoinsuranceOverride	Gets or sets the Coinsurance override	decimal number	None.
OverrideTypeNo	Gets or sets the Override type identifier	integer	None.
OverrideTypeUrl	Gets or sets the Override Type Url	string	None.
VariableCopayAmount	Gets or sets the Variable Copay Amount	decimal number	None.
OOPCopayOverride	Gets or sets the out of pocket Copay Override	decimal number	None.
OOPCoinsuranceOverride	Gets or sets the out of pocket Coinsurance Override	decimal number	None.
CopayCardAmount	Gets or sets the Copay Card Amount	decimal number	None.
ExemptFromDeductible	Gets or sets Exempty From Deductible indicator	boolean	None.
ExemptFromOutOfPocketLimit	Gets or sets Exempt From Out of Pocket Limit indicator	boolean	None.
Url	Gets or sets the link representing a link back to the resource	string	None.
ID	Gets or sets the identifier for the resource	integer	None.

Response Formats

application/json, text/json, application/json-patch+json

Sample:

{
  "url": "sample string 11",
  "id": 12,
  "groupNo": 1,
  "facilityBranchNo": 1,
  "facilityUrl": "sample string 1",
  "transactionCode": "sample string 2",
  "memberSeqNo": 1,
  "member": {
    "url": "sample string 36",
    "id": 37,
    "salutation": "sample string 1",
    "firstName": "sample string 2",
    "middleName": "sample string 3",
    "lastName": "sample string 4",
    "suffix": "sample string 5",
    "emailAddress": "sample string 6",
    "gender": "sample string 7",
    "heightInches": 1,
    "ssn": "sample string 8",
    "doNotEmail": true,
    "doNotPhone": true,
    "alternateID": "sample string 11",
    "dateOfBirth": "2025-05-30T20:55:01.1309426-05:00",
    "comment": "sample string 13",
    "birthPlace": "sample string 14",
    "occupation": "sample string 15",
    "usCitizen": true,
    "military": true,
    "active": 16,
    "memberComment": "sample string 17",
    "hasMedicare": true,
    "medicareID": "sample string 19",
    "medicarePlan": "sample string 20",
    "medicareEffectiveDate": "2025-05-30T20:55:01.1309426-05:00",
    "locationName": "sample string 22",
    "dependantIndicator": "sample string 23",
    "criticalComment": "sample string 24",
    "identifier": "sample string 25",
    "diabetic": true,
    "isHospice": true,
    "nonCodedAllergies": "sample string 27",
    "sentToPharmacy": true,
    "cardholderID": "sample string 28",
    "secondaryCoverageOnly": true,
    "locked": true,
    "coverageLevelCode": "CHD - Children Only",
    "yearlyHouseholdIncome": 1.0,
    "isMDCaresPatient": true,
    "personCode": "sample string 29",
    "cobra": true,
    "isTestMember": true,
    "roomNumber": "sample string 31",
    "bedNumber": "sample string 32",
    "admittedDate": "2025-05-30T20:55:01.1309426-05:00",
    "dischargeDate": "2025-05-30T20:55:01.1309426-05:00",
    "cardHolderMemberID": 33,
    "currentPatientPlan": {
      "planContractNo": 1,
      "contractCode": "sample string 1",
      "contractName": "sample string 2",
      "groupID": 1,
      "groupPlanNo": 1,
      "planName": "sample string 3",
      "facilityARTypeNo": 1,
      "arShortCode": "sample string 4",
      "effectiveStartDate": "2025-05-30T20:55:01.1309426-05:00",
      "effectiveEndDate": "2025-05-30T20:55:01.1309426-05:00"
    },
    "clientID": "sample string 34",
    "externalID": "sample string 35",
    "currentFormulary": {
      "url": "sample string 2",
      "id": 3,
      "name": "sample string 1"
    }
  },
  "prescriptionReferenceNumber": "sample string 3",
  "fillNumber": 4,
  "productID": "sample string 5",
  "dateOfService": "2025-05-30T20:55:01.1309426-05:00",
  "submittedClaimNumber": "sample string 6",
  "resubmittedClaimNumber": "sample string 7",
  "approved": true,
  "notes": "sample string 8",
  "priorAuthPersistentNo": 1,
  "priorAuthPersistentUrl": "sample string 9",
  "quantityDispensed": 1.0,
  "daysSupply": 1,
  "copayOverride": 1.0,
  "coinsuranceOverride": 1.0,
  "overrideTypeNo": 1,
  "overrideTypeUrl": "sample string 10",
  "oopCopayOverride": 1.0,
  "oopCoinsuranceOverride": 1.0,
  "copayCardAmount": 1.0,
  "exemptFromDeductible": true,
  "exemptFromOutOfPocketLimit": true
}