FHIR Prior Authorization Submission API for Health Cloud

Set up the Prior Authorization Submission application on MuleSoft:

1. Log in to Salesforce and navigate to the Setup page.
2. Search for the ‘MuleSoft Direct’ page.
3. Select the prior-auth-inbound-api-impl application and click Enable.
4. Enter the Display Name, Application Name, Business Group, Environment, and Deployment Target, and then click Next.
5. Click FHIR Prior Authorization Submission API for Health Cloud to add the configuration properties.

1. To add an optional configuration for FHIR Prior Authorization Submission API for Health Cloud, click Add Additional parameters and enter the required details. For configuration details, refer to this table:

| SNo | Application property name(Key name) | Sample value | Description |
| 1 |salesforce.apiVersion| 63.0 |Salesforce API version.|
| 1 |questionnaireApi.basePath| - |FHIR Questionnaire API base path.
Default: /api/v1/fhir-questionnaire|

1. Select the FHIR Questionnaire API for Health Cloud tab and enter the configuration properties.

1. To add an optional configuration for FHIR Questionnaire API for Health Cloud, click Add Additional parameters and enter the required details. For configuration details, refer to this table:

1. Click Proceed to deploy the application.

Post-Deployment:

• Follow the FHIR Prior Authorization Submission API Specification to trigger the MuleSoft endpoints.

  Note: The base path for all the endpoints is: /prior-auth/fhir-r4/v1/Claim/. For example, the URL for the /$submit endpoint is https://{hostname}/{basePath}/$submit where the base path is /prior-auth/fhir-r4/v1/Claim/.

• For outbound deployment, send the org instance and access token for connecting to Salesforce with keys Instance-Domain-Name and Access-Token.

  Note:

  • The above mentioned headers are mandatory.
  • The value of Access-Token is in the format Bearer sample-access-token.