发布 Sep 03, 2022 217 查看
Authorization through Calling
· Authorization through Fax
· Authorization through Portal
· Authorization against Refills (Received from Billing Department)
· Clinicals sent through Fax and Portal (Availity & United Health Care website)
· Calling Doctor's Office (Just in case)
· Verifying Chart Notes
· Verifying Doctor's Orders
· Verifying Eligibility (Through Portal & On call)
· Follow up against Pending Authorizations
· Sending Appeal against Denied or Rejected Authorization
For Braces performing mentioned steps before Initiating the Prior Authorization)
· Verifying Patient Zip code through DME COMPETITIVE BID Website
· Verifying CPT through DME COMPETITIVE BID Website
· Verifying Charge Amount through Palmetto GBA Website.
· Calculating the No of Units according to Patient's DO.
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