Advanced authorization

NPHIES advanced authorization responses received for your organization. They are linked to the right patient and facility automatically.

Poll NPHIES

This screen answersUS-35 US-09a

Acceptance criteria

US-35 Read-Only Module Banners LOW

As a user, I want a clear receive-only banner on read-only modules, so that I understand why there's no Create action.

Advanced Auth + Payment Reconciliation show a receive-only banner explaining no Create path.

US-09a APA Polling Without Bundle Reference (TC-AUTH-010) HIGHEST

As the system, I need to poll NPHIES for payer-initiated Advanced Prior Authorizations without a reference Bundle ID, so payer-issued APAs are retrieved successfully.

Given a payer has issued an APA with no prior request from us, when Poll NPHIES runs, then the APA is retrieved and appears in the Advanced Auth module.
Given the poll runs without a bundle reference, when NPHIES returns results, then the system correctly parses and links the APA to the correct patient/provider without requiring a pre-existing internal reference.
Given the APA exists, when a communication or cancellation/change is sent against it, then the related change reflects correctly.

Wireframe state

DefaultEmpty

Created is a hidden column: turn it on from the column menu.

Identifier	Patient	Status	Expires	Created
APA-0412	Noura Al Harbi1087654321	Complete	18 Oct 2026	04 Oct 2026, 17:20	Submit claim View case
APA-0409	Khalid Al Mutairi1098231567	Complete	18 Oct 2026	04 Oct 2026, 09:02	Submit claim View case
APA-0401	Sara Al Dosari2145678903	Partial	15 Oct 2026	01 Oct 2026, 14:44	Submit claim View case
APA-0398	Faisal Al Shammari1065432198	Cancelled		30 Sep 2026, 11:15	Submit claim View case

No advanced authorizations

Poll NPHIES to check for new ones. Responses from payers appear here.

Poll NPHIES