Entering a Prior-Authorization

Entering a Prior-Authorization

To add a Pre-Authorization to a Patient's Demographics Details:

1. Select the Pre-Auth Tab in Patient Demographic Details
2. Select the insurance/plan in the debtor drop down from which the pre-auth was obtained 
3. Enter the Provider for which the prior authorization was issued
4. Enter the CPT code that was given a pre-auth, if only one CPT, leave that option checked. If the auth is for multiple codes select the option "additional  svcs allowed"
5. Enter the ICD codes used to get the pre-auth, enter the authorization number
6. Enter the authorization number
7. Enter a date range or a specific number of visits, if any of the visits have been used already enter that in the used field
8. Click the save button

When entering charges for this patient and the selected CPT code has a pre-auth, the system will pull that information into the electronic claim file

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