Components of Authorization Code Tracking window
Field | Description |
---|---|
Authorization Mode |
Select one of the following options:
|
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 |
CPT4 Thru CPT4 |
Select the open menu |
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 |
Letter of Medical Necessity Required | Select in this field to display a |
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. |