Pre-authorization request table

reference brazil Updated Sep 10, 2026 2 min read hcls-pre-auth-header-table.md
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The Pre-authorization request [sn_hcls_pre_auth_header] table stores the authorization request details for a healthcare service provided by a payer organization.

Key features

  • Stores the pre-authorization request details for a healthcare service provided by a payer organization.
  • Enables pre-authorizing healthcare service for a patient.
  • Includes the pre-authorization number, pre-authorization type, pre-authorization effective dates, and healthcare service order details.

Role required to configure the table: sn_hcls.admin.

For more information, see Healthcare and Life Sciences data model.

Field

Data type

Description

Case

Reference

Healthcare case associated with the ordered healthcare service for the patient.

Review type

Choice list

Category of the healthcare service.

The following types are available by default:

  • Routine: A healthcare service customarily administered by a practitioner and can be scheduled in advance based on the patient’s and practitioner’s preference.
  • Elective: An optional healthcare service that can be scheduled at any time in the future based on the patient’s and practitioner’s preference.
  • Urgent: A required healthcare service that is considered urgent and must be scheduled immediately.
  • Non urgent: A healthcare service that isn't considered urgent and can be scheduled in the near future.

Date approved

Date

Date when the pre-authorization request was approved by the payer organization.

Date fax received

Date/Time

Date and timestamp on a fax received for the pre-authorization request.

Insurance

Reference

Member plan associated with the patient.

Patient

Reference

Patient on whose behalf the pre-authorization request was submitted.

Place of service

Reference

Location of service rendered.

Primary pre-auth number

String

Primary pre-authorization number generated by the payer organization.

Reason

String

Reason for the pre-authorization request.

Referring practitioner

Reference

Practitioner who recommended the healthcare service associated with the pre-authorization request.

Remarks

String

Comments or additional information about the pre-authorization request.

Rendering practitioner

Reference

Provider rendering the service.

Secondary pre-auth number

String

Secondary pre-authorization number generated by the payer organization.

Short description

String

A short description of this pre-authorization request.

Source

Reference

Source system details of an external healthcare system in a ServiceNow instance.

Status

Choice list

Approval status of the pre-authorization request.

The following types are available by default:

  • Draft: Pre-authorization request is yet to be submitted.
  • Pending: Pre-authorization request is submitted for review to the payer organization.
  • Approved: Pre-authorization request was approved by the payer organization.
  • Denied: Pre-authorization request was denied by the payer organization.
  • Completed: Pre-authorization request was completed with one or more items were denied in the request.

Review type

String

Type of the healthcare service requested in the pre-authorization request.

The following types are available by default:

  • Medical
  • Prescription
  • New

Valid from

Date

Start date of the pre-authorization request validity period.

Valid until

Date

End date of the pre-authorization request validity period.

**Parent Topic:**[Healthcare and Life Sciences data model tables](https://raw.githubusercontent.com/ServiceNow/ServiceNowDocs/brazil/markdown/healthcare-life-sciences/healthcare-and-life-sciences-service-management-core/hcls-healthcare-data-tables.md)
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