Prior Auth Turnaround Window Lookup

Audit actual complete prior-auth request date against caller independently verified request-class calendar-day response window; no business/holiday inference or authorization guarantee.

Description

Prior-authorization turnaround depends on the complete-request trigger and verified request class.

Prior-authorization turnaround depends on the complete-request trigger and verified request class. Calendar days differ from business days.1

The returned values include Caller prior auth response deadline civil date, Signed days until caller deadline, Caller deadline already passed. The How section below explains the calculation, input rules and interpretation.

When to use Prior Auth Turnaround Window Lookup

Use Prior Auth Turnaround Window Lookup when you need to evaluate the supplied records under the calculation and evidence rules below. No holiday inference, legal response deadline or authorization guarantee is supplied.

Prepare the observed policy, claim or quote evidence and independently verified policy tables. Monetary fields use integer minor units in one currency: for a currency with 100 minor units per major unit, enter 12345 for 123.45. One basis point is 0.01 percentage points, so 10000 basis points represents 100%.

How to use Prior Auth Turnaround Window Lookup and understand its results

  1. Prepare the observed policy, claim or quote evidence and independently verified policy tables. Monetary fields use integer minor units in one currency: for a currency with 100 minor units per major unit, enter 12345 for 123.45. One basis point is 0.01 percentage points, so 10000 basis points represents 100%.
  2. Enter observedCompletePriorAuthRequestCivilDate, callerPriorAuthRequestClassIds, callerVerifiedPriorAuthCalendarDayWindows, queryPriorAuthRequestClassId, observedAsOfCivilDate using the field table and calculation rules, then run the tool.
  3. Read callerPriorAuthResponseDeadlineCivilDate, signedDaysUntilCallerDeadline, callerDeadlineAlreadyPassed. The explanation below defines the units, signs, ordering and any flags or placeholder values.
  4. If the tool reports an input issue, correct the values and run it again. Apply the stated assumptions when interpreting a successfully returned result.
Input fieldMeaningValue type; see rules belowRequirement
observedCompletePriorAuthRequestCivilDateObserved complete prior auth request civil datestringRequired
callerPriorAuthRequestClassIdsCaller prior auth request class idslist of stringRequired
callerVerifiedPriorAuthCalendarDayWindowsCaller verified prior auth calendar day windowslist of numberRequired
queryPriorAuthRequestClassIdQuery prior auth request class idstringRequired
observedAsOfCivilDateObserved as of civil datestringRequired

Enter exact real Gregorian YYYY-MM-DD dates in 1900–2199 for request and as-of, aligned nonempty unique nonblank class IDs and integer windows 0–3660, and an exact query ID. Return generated deadline, signed days remaining and a strictly passed flag; generated dates must remain in the supported years.

deadline=completeRequest+catalogDays; remaining=deadline−asOf; passed=asOf>deadline

Units, indexing, boundary conditions and exceptional cases are defined in the calculation rules above.

Output fieldMeaningValue type
callerPriorAuthResponseDeadlineCivilDateCaller prior auth response deadline civil datestring
signedDaysUntilCallerDeadlineSigned days until caller deadlinenumber
callerDeadlineAlreadyPassedCaller deadline already passedboolean
json
{
  "input": {
    "observedCompletePriorAuthRequestCivilDate": "2026-01-01",
    "callerPriorAuthRequestClassIds": [
      "standard",
      "expedited"
    ],
    "callerVerifiedPriorAuthCalendarDayWindows": [
      30,
      5
    ],
    "queryPriorAuthRequestClassId": "standard",
    "observedAsOfCivilDate": "2026-01-20"
  },
  "output": {
    "callerPriorAuthResponseDeadlineCivilDate": "2026-01-31",
    "signedDaysUntilCallerDeadline": 11,
    "callerDeadlineAlreadyPassed": false
  }
}

Limitations and assumptions

No holiday inference, legal response deadline or authorization guarantee is supplied.

Numeric inputs, where present, must be finite. Follow the calculation-specific rules for overflow, underflow and exceptional cases. Numeric lists are limited to 10,000 entries; string lists to 128 strings of at most 128 characters each. The rules above may impose smaller limits. Extremely large text inputs are rejected. Missing required fields, extra fields, wrong value types and violations of the calculation rules are input errors. A successfully returned false flag is an evaluated outcome; its meaning is explained above.

Alternative or Complementary methods

Use Proof Of Loss Deadline Days Lookup: Proof-of-loss timing begins at an independently established trigger. A class-specific calendar-day window gives a deadline and signed time remaining. For a complementary task, use Appeal Deadline Days From Denial Lookup: An appeal filing window starts from the independently established appealable denial date. It differs from a response deadline.

References

  1. Prior Auth Turnaround Window Lookup — tool.io

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