You want that payer to have different pre-certification reminder timelines than the Default entry, especially if the payer requires greater or lesser advanced notice to issue a new precertification than is set for the default.
You want to add the payer to the Payer Default list.
You want a different alert to fire for the payer (they will also need to be added to the Payer Default grid).
Select the Payer Name field.
The AINF Pre Cert System Payers picklist opens. This list pulls payers from your Payer Master file.
Select the payer, and then select OK.
To add a specific alert to appear for that payer, enter the text in the Payer Specific Alert field.
Note: If you would like an alert to show for that payer on the Pre-cert template when the Precert Not Required button is selected, enter it in the Payer Specific Alert field. This alert will only fire if the payer is also in the Payer Defaults grid.
Enter the number of days from the pre-certification expiration date at which time a scheduled patient with that that payer will appear in the Pre-Cert Worklog, in the Send to Worklog…days field.
Enter the number of visits remaining of that payer’s pre-cert visit allotment at which time a patient’s name will appear in the Pre-Cert Worklog, in the Send to Worklog…visits field.
