X12 Prior Authorization
Category: Healthcare Standards: X12 278 · HIPAA 5010
Submit and manage prior authorizations via X12 278
What this node does
- Prior auth submission
- Auth status inquiry
- Auth response processing
- Referral management
How to use
- In the Agentic Studio, open or create a workflow
- In the node palette on the left, find X12 Prior Authorization under the Healthcare category (or use the search bar)
- Drag the node onto the canvas
- Double-click the node to open its configuration dialog
- Fill in the required parameters (see Configuration below)
- Connect the Authorization Request Data input port from an upstream node
- Connect the Authorization ID and Authorization Status and Auth Response output to the next node downstream
Inputs
| Port | Type | Required | Description |
|---|---|---|---|
| Authorization Request Data | json | ✓ | JSON data object |
Outputs
| Port | Type | Description |
|---|---|---|
| Authorization ID | text | Plain text string |
| Authorization Status | text | Plain text string |
| Auth Response | json | JSON data object |
Configuration
Open the configuration dialog by double-clicking the X12 Prior Authorization node on the canvas.
| Parameter | What to enter |
|---|---|
serviceTypeCode | Configure serviceTypeCode in the node settings |
providerNPI | Configure providerNPI in the node settings |
facilityCode | Configure facilityCode in the node settings |
When to use this node
- Request prior authorization
- Check auth status
- Process auth decisions
Need help configuring this node?
Go to Settings → Connectors to set up the connection this node depends on, then reference the connector ID in the node configuration dialog.