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Issue with Posting PreAuth Claim
Posted: Tue Jan 14, 2025 10:47 pm
by beacondental
Hello,
I tried posting a pre-auth claim using the Claim POST API, with the below Request Object,
patNum=38663, procNums=[1704688], claimType='PreAuth', insSubNum=35025, patRelat='Self'
The request object is as expected by the POST API, but I am getting the below error,
400 Bad Request: ""Cannot create a PreAuth claim with procedures from a saved treatment plan.""
But when I tried checking the TPStatus for the ProcNum 1704688 using treatplan, procedurelog & treatplanattach tables, I found the TPStatus as 1, which is Active, then why the error?
Please guide me with a solution for the above-mentioned issue.
Thanks in advance.
Re: Issue with Posting PreAuth Claim
Posted: Mon Feb 10, 2025 4:22 am
by beacondental
Hello API Team, Can you please help me with this process, as are development has stalled unless we get clarity.
Re: Issue with Posting PreAuth Claim
Posted: Mon Feb 10, 2025 8:51 am
by SLeon
Good morning,
You are attempting to use a procedure with an incorrect status. From our
schema:
- PrecedureLog.ProcStatus.png (19.33 KiB) Viewed 5451 times
As the error message indicates, you cannot use procedures that are of type TP.
Re: Issue with Posting PreAuth Claim
Posted: Thu Feb 27, 2025 3:45 am
by beacondental
Thanks for the previous help.
One more question I have is, how can I find the Pri Ins Amount shown in the treatment plans module for an active treatment plan?
If you can help me with the query or the API, it will be very helpful.
Thanks in advance.
Re: Issue with Posting PreAuth Claim
Posted: Thu Feb 27, 2025 11:05 am
by RyanH
beacondental wrote: ↑Thu Feb 27, 2025 3:45 am
Thanks for the previous help.
One more question I have is, how can I find the Pri Ins Amount shown in the treatment plans module for an active treatment plan?
If you can help me with the query or the API, it will be very helpful.
Thanks in advance.
Hello beacondental,
You can use
Query #982 with the
Queries endpoint to retrieve the ‘Pri Ins’ column shown in the Treatment Plan Module through the API.
Thanks!
Re: Issue with Posting PreAuth Claim
Posted: Wed Mar 05, 2025 9:22 pm
by beacondental
SLeon wrote: ↑Mon Feb 10, 2025 8:51 am
Good morning,
You are attempting to use a procedure with an incorrect status. From our
schema:
PrecedureLog.ProcStatus.png
As the error message indicates, you cannot use procedures that are of type TP.
I am already checking the ProcStatus=1 in my query. Still, I see this error.
Also, the ProcNum from the example I shared in the beginning of this thread is part of an Active Treatment Plan only, then why the error?
Re: Issue with Posting PreAuth Claim
Posted: Thu Mar 06, 2025 9:40 am
by RyanH
beacondental wrote: ↑Wed Mar 05, 2025 9:22 pm
SLeon wrote: ↑Mon Feb 10, 2025 8:51 am
Good morning,
You are attempting to use a procedure with an incorrect status. From our
schema:
PrecedureLog.ProcStatus.png
As the error message indicates, you cannot use procedures that are of type TP.
I am already checking the ProcStatus=1 in my query. Still, I see this error.
Also, the ProcNum from the example I shared in the beginning of this thread is part of an Active Treatment Plan only, then why the error?
Hello beacondental,
The error message you sent indicates that the procedure you’re attempting to create a PreAuth claim for has been saved to a Saved TP. To verify this, you can use the Query endpoint to find all ProcTPs with a ProcNumOrig equal to the procedurelog.ProcNum.
For more information, see our
ProcTP Database Schema and our
ProcTP API documentation.
Thanks!
Re: Issue with Posting PreAuth Claim
Posted: Tue Apr 08, 2025 9:23 pm
by beacondental
Hello,
I selected procedures from the Active Treatment Plan and attempted to create a Pre-Auth claim, but encountered the same error:
"Cannot create a PreAuth claim with procedures from a saved treatment plan."
I’ve attached the relevant screenshots.
Could you please guide us on this matter? This issue has been ongoing for quite some time and is currently stalling our development efforts.
""
Re: Issue with Posting PreAuth Claim
Posted: Wed Apr 09, 2025 3:11 pm
by justine
beacondental wrote: ↑Tue Apr 08, 2025 9:23 pm
Hello,
I selected procedures from the Active Treatment Plan and attempted to create a Pre-Auth claim, but encountered the same error:
"Cannot create a PreAuth claim with procedures from a saved treatment plan."
I’ve attached the relevant screenshots.
Could you please guide us on this matter? This issue has been ongoing for quite some time and is currently stalling our development efforts.
""
Hello beacondental,
You cannot create a preauth claim for procedures that are on a saved treatment plan. Specifically, this error occurs when there are procTPs.ProcNumOrig values that match supplied procNums.
For example, if you were to call
Code: Select all
https://api.opendental.com/api/v1/proctps?TreatPlanNum=65212
and parse the return for ProcNumOrig=1574434, this indicates that procedurelog 1574434 is associated with saved treatment plan 65212. This can only happen if treatplannum 65212 is for a saved treatment plan.
Thanks!