CRD-style PA determination
CRD-style PA determination with facility-aware, 5-tier resolution + rationale chain.
Authorizations
Query Parameters
Payer slug or alias
CPT/HCPCS code
Service category
Plan type filter
State abbreviation
Place of service code
Current visit count
Facility CCN. When supplied, the engine auto-fills state/place-of-service from the facility profile and applies any facility-specific overrides (Tier 0) ahead of the shared payer rules.
Response
Successful Response
CRD-style PA determination with rationale chain.
Persisted determination ID for audit trail
Threshold at which PA becomes required (if applicable)
Plan type used for resolution (commercial, medicaid, etc.)
Contact and portal information for PA submission.
Remaining visits before PA threshold is reached
Visit count supplied in the request