Overview

This page is part of Greenrain Prior Authorization (GPA) documentation.

Get Eligibility

API returns a description of the eligibility check received from a payer.

Request

https://localhost/greenrain-api/GetEligibilityResults[?requestId]

Request parameters

Name	In	Required	Type	Description
requestId	query	Yes	string	Eligibility request ID generated by GPA.

Response

Response: 200 OK.

Below is a response sample for the eligibility request.

JSON

{
  "Authorization:"
  {
    "Result": "Yes",
    "ID": "1de8f0d5-d509-469e-b853-fa9d1dd6becf",
    "IDPayer": "20210601281919",
    "DenialCode": "",
    "Start": "2021-06-01",
    "End": "2021-06-07",
    "Limit": "10000",
    "Comments": "Patient is eligibile to get treatment in your facility. To make sure the particular service is covered, please send prior authorization request before performing the service."
  }
}

Get Prior Authorization

API returns a description of the prior authorization received from a payer.

Request

https://localhost/greenrain-api/GetAuthorizationResults[?requestId]

Request parameters

Name	In	Required	Type	Description
requestId	query	Yes	string	Authorization request ID generated by GPA.

Response

Response: 200 OK.

Below is a response sample for the prior authorization request.

JSON

{
  "Authorization:"
  {
    "Result": "Yes",
    "ID": "d1c6a63e-8bf2-4a8a-b629-6219b17a8fb9",
    "IDPayer": "202109158392",
    "DenialCode": "",
    "Start": "2021-09-01",
    "End": "2021-09-30",
    "Limit": "10000",
    "Comments": "Prior authorization is approved."
    "Activity" :
    [
    {
      "Id": "1",
      "Type": "5",
      "Code": "F68-3996-04334-01",
      "ApprovedQuantity": "1.00",
      "Net": "150.00",
      "PatientShare": "0.00",
      "PaymentAmount": "150.00",
      "DenialCode": ""
    },
    {
      "Id": "2",
      "Type": "5",
      "Code": "C97-8072-01184-01",
      "ApprovedQuantity": "2.00",
      "Net": "53.00",
      "PatientShare": "0.00",
      "PaymentAmount": "53.00",
      "DenialCode": ""
    },
    {
      "Id": "3",
      "Type": "5",
      "Code": "D27-5838-08971-02",
      "ApprovedQuantity": "1.00",
      "Net": "75.00",
      "PatientShare": "20.00",
      "PaymentAmount": "55.00",
      "DenialCode": ""
    }
    ]
  }
}

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