Pre-authorization request table

The Pre-authorization request [sn_hcls_pre_auth_header] table stores the authorization request details for a healthcare service provided by a payer organization.

Key features

• Stores the pre-authorization request details for a healthcare service provided by a payer organization.
• Enables pre-authorizing healthcare service for a patient.
• Includes the pre-authorization number, pre-authorization type, pre-authorization effective dates, and healthcare service order details.

Role required to configure the table: sn_hcls.admin.

For more information, see Healthcare and Life Sciences data model.

Table 1. Pre-authorization request table fields

Field	Data type	Description
Case	Reference	Healthcare case associated with the ordered healthcare service for the patient.
Review type	Choice list	Category of the healthcare service. The following types are available by default: Routine: A healthcare service customarily administered by a practitioner and can be scheduled in advance based on the patient’s and practitioner’s preference. Elective: An optional healthcare service that can be scheduled at any time in the future based on the patient’s and practitioner’s preference. Urgent: A required healthcare service that is considered urgent and must be scheduled immediately. Non urgent: A healthcare service that isn't considered urgent and can be scheduled in the near future.
Date approved	Date	Date when the pre-authorization request was approved by the payer organization.
Date fax received	Date/Time	Date and timestamp on a fax received for the pre-authorization request.
Insurance	Reference	Member plan associated with the patient.
Patient	Reference	Patient on whose behalf the pre-authorization request was submitted.
Place of service	Reference	Location of service rendered.
Primary pre-auth number	String	Primary pre-authorization number generated by the payer organization.
Reason	String	Reason for the pre-authorization request.
Referring practitioner	Reference	Practitioner who recommended the healthcare service associated with the pre-authorization request.
Remarks	String	Comments or additional information about the pre-authorization request.
Rendering practitioner	Reference	Provider rendering the service.
Secondary pre-auth number	String	Secondary pre-authorization number generated by the payer organization.
Short description	String	A short description of this pre-authorization request.
Source	Reference	Source system details of an external healthcare system in a ServiceNow instance.
Status	Choice list	Approval status of the pre-authorization request. The following types are available by default: Draft: Pre-authorization request is yet to be submitted. Pending: Pre-authorization request is submitted for review to the payer organization. Approved: Pre-authorization request was approved by the payer organization. Denied: Pre-authorization request was denied by the payer organization. Completed: Pre-authorization request was completed with one or more items were denied in the request.
Review type	String	Type of the healthcare service requested in the pre-authorization request. The following types are available by default: Medical Prescription New
Valid from	Date	Start date of the pre-authorization request validity period.
Valid until	Date	End date of the pre-authorization request validity period.