GET api/groups/{groupid}/priorauths?approvedStatus={approvedStatus}&memberNo={memberNo}&startDate={startDate}&endDate={endDate}

Get a prior authorization model by group, group plan, and optionally memberNo, and dateOfService startDate and endDate

Request Information

URI Parameters

Name	Description	Type	Additional information
groupid	Group identifier	integer	Required
approvedStatus	Status of the Prior Auth (null=pending, true=approved, false=rejected)	boolean	None.
memberNo	Optional memberNo by which the prior auths will be filtered	integer	None.
startDate	Prior auths for claims on or after this date will be returned, if its provided. If no start date is specified, the last 7 days will be loaded by default	date	None.
endDate	Prior auths for claims on or before this date will be returned, if its provided.	date	None.

Body Parameters

None.

Response Information

Resource Description

Collection of 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		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 38",
      "id": 39,
      "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": "2025-07-16T15:21:26.0171402-05:00",
      "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": "2025-07-16T15:21:26.0171402-05:00",
      "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,
      "ignoreMemberInfoInClaims": true,
      "setMemberInfoNextClaim": true,
      "roomNumber": "sample string 33",
      "bedNumber": "sample string 34",
      "admittedDate": "2025-07-16T15:21:26.0171402-05:00",
      "dischargeDate": "2025-07-16T15:21:26.0171402-05:00",
      "cardHolderMemberID": 35,
      "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": "2025-07-16T15:21:26.0171402-05:00",
        "effectiveEndDate": "2025-07-16T15:21:26.0171402-05:00"
      },
      "clientID": "sample string 36",
      "externalID": "sample string 37",
      "currentFormulary": {
        "url": "sample string 2",
        "id": 3,
        "name": "sample string 1"
      }
    },
    "prescriptionReferenceNumber": "sample string 3",
    "fillNumber": 4,
    "productID": "sample string 5",
    "dateOfService": "2025-07-16T15:21:26.0171402-05:00",
    "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
  },
  {
    "url": "sample string 11",
    "id": 12,
    "groupNo": 1,
    "facilityBranchNo": 1,
    "facilityUrl": "sample string 1",
    "transactionCode": "sample string 2",
    "memberSeqNo": 1,
    "member": {
      "url": "sample string 38",
      "id": 39,
      "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": "2025-07-16T15:21:26.0171402-05:00",
      "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": "2025-07-16T15:21:26.0171402-05:00",
      "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,
      "ignoreMemberInfoInClaims": true,
      "setMemberInfoNextClaim": true,
      "roomNumber": "sample string 33",
      "bedNumber": "sample string 34",
      "admittedDate": "2025-07-16T15:21:26.0171402-05:00",
      "dischargeDate": "2025-07-16T15:21:26.0171402-05:00",
      "cardHolderMemberID": 35,
      "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": "2025-07-16T15:21:26.0171402-05:00",
        "effectiveEndDate": "2025-07-16T15:21:26.0171402-05:00"
      },
      "clientID": "sample string 36",
      "externalID": "sample string 37",
      "currentFormulary": {
        "url": "sample string 2",
        "id": 3,
        "name": "sample string 1"
      }
    },
    "prescriptionReferenceNumber": "sample string 3",
    "fillNumber": 4,
    "productID": "sample string 5",
    "dateOfService": "2025-07-16T15:21:26.0171402-05:00",
    "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
  }
]