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.
Issue with Posting PreAuth Claim
-
- Posts: 119
- Joined: Wed Mar 15, 2023 8:43 am
Re: Issue with Posting PreAuth Claim
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
Good morning,
You are attempting to use a procedure with an incorrect status. From our schema:
As the error message indicates, you cannot use procedures that are of type TP.
You are attempting to use a procedure with an incorrect status. From our schema:
As the error message indicates, you cannot use procedures that are of type TP.
-
- Posts: 119
- Joined: Wed Mar 15, 2023 8:43 am
Re: Issue with Posting PreAuth Claim
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.
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
Hello beacondental,beacondental wrote: ↑Thu Feb 27, 2025 3:45 amThanks 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.
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!
-
- Posts: 119
- Joined: Wed Mar 15, 2023 8:43 am
Re: Issue with Posting PreAuth Claim
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
Hello beacondental,beacondental wrote: ↑Wed Mar 05, 2025 9:22 pmI 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?
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!