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Treatment Authorization

About Treatment Authorization Requests

Some payers require prior authorization of the services you plan to provide for a patient before they will pay on a claim. To request this authorization, you submit a Treatment Authorization Request (TAR) to the payer when admitting a patient. The Treatment Authorization window allows your agency to print TARs. TAR forms and procedure codes are set up in Administration > Financial > Insurance Codes, and required information for patient TARs is entered in Patient > General > Authorizations. If authorized services detail entered with type Units, a column Units of Services is completed.

Treatment Authorization Window

Claims > Process > Treatment Authorization

Selecting the All Accumulated TARs radio button prints TARs that have not been printed or that need to be reprinted due to data changes. All TARs for which the TAR Printed check box is not selected in Patient > > General > Authorizations are printed. The Reprint Selected TARs radio button prints or reprints all TARs for a specific patient by pay source and effective date. Click the Preview tab to view and print the TARs you specified on the Define tab.

Print Treatment Authorization – All Accumulated TARs

1.

From Claims > Process > Treatment Authorization, select the All Accumulated TARs radio button to print all accumulated TARs that have not been printed or that need to be reprinted due to changes.

This selection prints all accumulated TARs for which the TAR Printed check box is not selected in Patient > General > Authorizations. Clear this check box to reprint a TAR due to data changes.

2.

If you want to hide the insurance ID number and display asterisk, select the Mask the Insurance ID Number (Print as Asterisk) check box.

3.

Click the Preview tab to view the report onscreen.

4.

Click Print to print the report.

5.

Click Close to exit.

 

Print Treatment Authorization – Reprint Selected TARs

1.

From Claims > Process > Treatment Authorization, select the Reprint Selected TARs radio button.

This selection prints all of a selected patient's TARs for which the TAR Printed check box is not selected in Patient > General > Authorizations. Clear this check box to reprint a TAR due to data changes.

2.

Select a patient from the Patient field.

3.

Select the patient's pay source receiving the TAR from the Pay Source field.

4.

Enter or select an effective date.

5.

If you want to hide the insurance ID number and display asterisk, select the Mask the Insurance ID Number (Print as Asterisk) check box.

6.

Click the Preview tab to view the report onscreen.

7.

Click Print to print the report.

8.

Click Close to exit.

 


 

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