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Generate separate claims per authorization

Path: Patient > General > Payers

Path: Patient > General > Authorizations

For Veterans Administration (VA) or any other payers who require submitting separate claims per authorization even if the authorization effective dates are overlapped, perform the following steps:

  1. In Patient > General > Payers, set up a separate pay source as the Eligible payer per each authorization that you need to use.
  2. In Patient > General > Authorizations, on the Authorizations window – Discipline tab, set up separate discipline authorizations per pay source if that is how the authorizations are divided by your agency.
  3. When scheduling discipline visits, select the appropriate Eligible payer per the discipline according to the authorization setup.

As a result, separate claims with unique claim IDs and claim from and thru dates will be generated by the system for each eligible payer including only the services specific to that authorization.

 

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