Integration with the Cúram Provider Management module

Upon approval of a 'Service' or 'Custom Service' type of plan item, the system will invoke the Create Service Authorization API to create a service authorization for the planned item. The Case ID and Case Participant Role ID of the concerning participant in the parent case (e.g. Integrated Case) are used as input parameters when creating the service authorization. The system will then create from one to many service authorization line items for the service authorization depending upon whether or not a frequency has been specified for the plan item.

Units Authorized, Rate Authorized, Expected Start Date, Expected End Date, Provider, and Provider Type are used as input parameters while creating the service authorization line item(s) for the planned item.

Following are the APIs available from the Cúram Provider ManagementCúram Provider Management (CPM) module that are used to create and maintain service authorization related information.

Table 1. CPM APIs
Method Attributes

Create Service Authorization Line Item

ServiceAuthorizationLineItem.insertServiceAuthorizationLineItem()

Service Offering

Provider Type

Provider

Units Authorized

Start and End Dates

MaximumUnits

ServiceAuthorization

UnitAmount

UnitAmountFixed

Nominee

Create Service Authorization

ServiceAuthorization.insertServiceAuthorization()

CaseParticipantRoleID

Cancel Service Authorization Line item

ServiceAuthorizationLineItem.cancelServiceAuthorizationLineItem()

serviceAuthorizationLineItem

Modify Service Authorization Line item

ServiceAuthorizationLineItem.modifyServiceAuthorizationLineItem()

modificationReason

UnitAmountFixed

UnitAmount

UnitsAuthorized

Upon delivery of a unit(s) of a service either through invoice processing or attendance tracking, the system will automatically update the Actual Start Date, Actual End Date, Actual Cost, Status and Units Delivered information of a service plan item.

The following events are raised by the CPM module.

Table 2. Events raised by CPM
Event Raised Parameters Additional Info
SILIAPPROVED

PrimaryEventData: ServiceInvoiceLineItemID

SecondaryEventData: None

* Update Planned Item Details

* Update Client Participation

PRLI_APPROVED

PrimaryEventData: ProviderRosterLineItemID

SecondaryEventData: None

* Update Attendance Information

* Update Planned Item Details

PRLIC_APPROVED

PrimaryEventData: PRLICorrectionID

SecondaryEventData: None

* Update Attendance Information

* Update Planned Item Details