Add a facility-specific prior-auth override
Create a facility-specific prior-auth rule that overrides the shared payer rules.
Use this for delegated arrangements, carve-outs, or benefit exclusions that
apply only to this facility’s contract. The PA resolver consults these as
Tier 0 (highest precedence) when a ccn is supplied to
/v1/prior-auth/check. Omit payer_slug to apply to every payer on the
facility’s roster.
Authorizations
Path Parameters
6-digit CMS Certification Number (facility CCN / Medicare provider number).
Body
A facility-specific prior-auth rule that overrides shared payer rules.
Whether PA is required under this facility's contract
prior_auth, precert, notification_only, retrospective, exempt, or excluded_service.
"prior_auth"
CPT/HCPCS code the override targets
"72148"
CPT, HCPCS, or CDT
10Delegated UM vendor, if any.
100Payer this override applies to. Omit to apply to all payers on the roster.
"fidelis-care"
Why this override exists (carve-out, delegation, exclusion).
2000Service category the override targets (used when no specific code).
"advanced_imaging"
Source grid/contract reference.
255Response
The created override
A facility-scoped PA override.