10.06.2015 – Attention All OrderSmart, OrderRite Auth. Management Users.
We’ve enhanced your auth statuses to further define encounters that require user intervention. If there is no direct CPT code match, you will now be presented with additional statuses:
- Validate Authorized
- Validate Denied
This is to ensure users validate the authorization returned is for the encounter they are reviewing. Once the user validates this authorization, they check the “Use This Auth” checkbox which in turns updates the account to Authorized or Denied respectively. Please remember to save your changes in the detail screen.
Your work queues have been updated and the new statuses will reflect in your Authorized or Denied work queues.
We have also added additional statuses to show where the No Pre-Certification response came from:
- NPR – Payer
- NPR KB – Knowledge Base National Payer Rules
- NPR MyKB – Knowledge Base Local Rules
Added column “Auth notes” at insurance company level that shows up on “call payer”. These notes can be added in the Insurance Master Configuration screen. We are in the process of making this available under your admin functionality.
