You can set up a preference to automatically select the first item available in your queue when you open the PAQ.
 
 
  - From the Provider Approval Queue 
 menu, select Preferences. 
   
    The PAQ Preferences window opens, with the General tab in view.
   
 
  - In the first section, select the Select the first item in the list when initialized check box, if it is not already selected.
 
  - Select OK.