NextGen Knowledge Center

Components of Authorization Code Tracking window

Field

Description

Authorization Mode
Select one of the following options:
  • Encounter Mode - when the authorization is for the entire encounter.
  • Units Mode - when the authorization is for units (procedures).
Tracking Only - do not send on claim

Select this check box to track the number of encounters or units on authorizations for internal purposes.

The authorization tracking totals are not sent on the claim or the EDI file.

Authorization Code

Enter the authorization code provided by the insurance company.

Effective Date

Select the effective date from the pop-up calendar.

Expiration Date

Select the expiration date from the pop-up calendar.

Nbr Encounters

Enter the number of encounters allowed for this authorization.

Used

Displays the number of authorizations utilized.

Pending

Displays the number of non-billed authorizations linked to an encounter.

Encounters Left

Displays the number of authorizations remaining for the patient.

Rendering
Select a single provider or multiple providers to attach to the authorization. The selected providers display in this field.
Location

To assign the authorization by location, select a single location.

Specialty
Select the specialty to attach to the authorization.
Description

Enter a description for the authorization code.

ICD Thru ICD

Select the open menu button to access the ICD-CM Code Range window and add, modify, or delete the ICD code range.

CPT4 Thru CPT4
Select the open menu button to access the CPT4 Code Range window and add, modify, or delete the CPT4 code range.
Encounters Utilizing This Authorization

Displays the encounter number and encounter date of the encounters attached to the authorization.

Appointments Pending This Authorization

Displays the case description and the appointment date of future encounters that will be attached to this authorization.

Date Authorization Requested

Enter the date of the request for the authorization.

Date Authorization Received

Enter the date the authorization was received.

Issue a Predetermination?

Select in this field to display a check mark to specify that a predetermination is required.

Letter of Medical Necessity Required

Select in this field to display a check mark to specify that a letter of medical necessity is required.

Date LMN Requested

Enter the date the LMN was requested.

Timely Filing Limit

The date provided by the payer when requesting information on the authorization.

Purchase Order Number

Enter the purchase order number if applicable.

Notes

Enter additional information about this authorization.