Issue with Posting PreAuth Claim

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beacondental
Posts: 119
Joined: Wed Mar 15, 2023 8:43 am

Issue with Posting PreAuth Claim

Post by beacondental » Tue Jan 14, 2025 10:47 pm

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.

beacondental
Posts: 119
Joined: Wed Mar 15, 2023 8:43 am

Re: Issue with Posting PreAuth Claim

Post by beacondental » Mon Feb 10, 2025 4:22 am

Hello API Team, Can you please help me with this process, as are development has stalled unless we get clarity.

SLeon
Posts: 575
Joined: Mon Mar 01, 2021 10:00 am

Re: Issue with Posting PreAuth Claim

Post by SLeon » 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
PrecedureLog.ProcStatus.png (19.33 KiB) Viewed 2555 times

As the error message indicates, you cannot use procedures that are of type TP.

beacondental
Posts: 119
Joined: Wed Mar 15, 2023 8:43 am

Re: Issue with Posting PreAuth Claim

Post by beacondental » 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.

RyanH
Posts: 17
Joined: Thu Dec 19, 2024 8:33 am

Re: Issue with Posting PreAuth Claim

Post by RyanH » Thu Feb 27, 2025 11:05 am

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!

beacondental
Posts: 119
Joined: Wed Mar 15, 2023 8:43 am

Re: Issue with Posting PreAuth Claim

Post by beacondental » 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?

RyanH
Posts: 17
Joined: Thu Dec 19, 2024 8:33 am

Re: Issue with Posting PreAuth Claim

Post by RyanH » Thu Mar 06, 2025 9:40 am

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!

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