Generate Prior Requests
- Start the encounter of an insurance patient from the doctor’s account.
- The encounter will start.
- Principal Diagnosis and weight in Vital Signs are compulsory to add.
- Click the “Prior Request” button at the top-right corner of the encounter screen.
View Prior Requests
- Go to the “Insurance” module and select “Prior Requests” from the admin account.
- The “Prior Request” screen will appear having Pending, Submitted, and Responded tabs:
Pending Tab:
- This tab displays all generated pending prior authorization requests.
- You can view the details of each request by selecting the “Open” option from the Actions column.
- After reviewing, click the Submit button located at the bottom-right of the screen to submit the request.
Submitted Tab:
- This tab lists all submitted prior authorization requests that have been sent for review.
Responded Tab:
- This tab displays the responses received for prior authorization requests. Users can open each response to review approval or rejection details.
“Check for New Prior Authorizations” button:
- Click this button to check for and fetch new responses related to prior authorization requests.
