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Production Inquiry Sandbox Test Responses

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Obtaining Sandbox Credentials 🆕

Please see Onboarding with Prior Authorization API.


Member ID Test Responses

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NOTE

The Member ID tests work in only the Production environment.

The responses for INQDEMO payer ID are based on the Member ID sent in the request. The Member ID needs to be one of these values: TST1, TST2, TST3, TST4, TST5, TST6, TST7, TST8, TST9, TST10, or TST11.

Here the results that are returned for each of the above Member ID values:

Member ID = "TST1" AuthNumber = "A062583941" Status = "APPROVED" PlaceofService = "inpatient" Procedure Code = "58570" Member ID = "TST2" AuthNumber = "A062951774" Status = "APPROVED" PlaceofService = "inpatient" Member ID = "TST3" AuthNumber = "A060795810" Status = "DENIED" PlaceofService = "inpatient" Procedure Code = "00170" Member ID = "TST4" AuthNumber = "A064331704" Status = "PENDING" PlaceofService = "inpatient" Procedure Code = "52332" Procedure Code = "52352" Procedure Code = "52310" Member ID = "TST5" AuthNumber = "A062643861" Status = "CANCELLED" PlaceofService = "inpatient" MSG = "WITHDRAWN" Procedure Code = "20936", MSG = "WITHDRAWN" Procedure Code = "22558", MSG = "WITHDRAWN" Procedure Code = "22853", MSG = "WITHDRAWN" Procedure Code = "22614", MSG = "WITHDRAWN" Procedure Code = "22612", MSG = "WITHDRAWN" Procedure Code = "63047", MSG = "WITHDRAWN" Procedure Code = "22842", MSG = "WITHDRAWN" Member ID = "TST6" AuthNumber = "A063682496" Status = "PARTIAL" PlaceofService = "inpatient" Procedure Code = "42145" Status = "DENIED" Procedure Code = "42826" Status = "APPROVED" Member ID = "TST7" Status = "CONTACT PAYER" MSG = "YOUR NOTIFICATION/PRIOR AUTHORIZATION SEARCH CANNOT BE COMPLETED ONLINE. PLEASE CALL THE NUMBER ON THE BACK OF THE MEMBER'S MEDICAL ID CARD" Member ID = "TST8" Status = "NO ACTION" MSG = "PRODUCT DOES NOT HAVE NOTIFICATION REQUIREMENTS" Member ID = "TST9" Result = AUTHORIZATION_NOT_FOUND Member ID = "TST10" Result = NOTFOUND Member ID = "TST11" Result = INVALID_MISSING_DATA ##

Updated about 20 hours ago