--- title: PAAppealRequest Elements slug: electronic-prior-auth/guide/paappealrequest-elements docTags: createdAt: 2026-06-18T17:59:25.993Z --- | **Element** | **Code** | **Comments** | | ------------------- | ------------ | -------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------- | | Request | mandatory  | | | PACaseID | mandatory  | PBM/payer-assigned identifier for the PA that is being appealed. | | AppealCaseID | conditional  | Only returned in an PAAppealResponse if there are additional questions. If returned by PBM/payer, provider vendors should include in subsequent PAAppealRequest messages. | | DeadlineForReply | conditional  | If the PBM/payer returns a question set in their PAAppealResponse, the subsequent PAAppealRequest must be returned by this date/time. | | QuestionSet | conditional  | If the PBM/payer returns a Question Set in their PAAppealResponse, the subsequent PAAppealRequest would contain the question set and associated answers. | | PANote | conditional  | Free text note describing reason for the appeal.
**Note:** Some PBM/payers may approve or deny appeal requests solely based on PANote. If this field is not included in the first PAAppealRequest, some PBM/payers may deny the appeal. |