Payor Based Authorizations - PM

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Create authorizations for a guarantor and service combination.

Authorizations can be edited or deleted. When generating an 837 bill, these authorizations apply to clients who have not been authorized for the guarantor and service through the Managed Care Authorizations form or the Cross Episode Managed Care Authorizations form.
Note: Select a guarantor in the Guarantor field to view a report specific to that guarantor. If no guarantor is selected, the report will contain information for all guarantors.

Prerequisites:

The Enable Payor Based Authorizations registry setting must be set to 'Y'.
The Require Authorizations at Guarantors/Payors Level registry setting must be set to 'Y'.

Add an Authorization

Go to: Avatar PM > System Maintenance > System Definition > Payor Based Authorizations.
Select a Guarantor from the dropdown list.
Enter a Service Code ID or description and select Search.
Set the Effective Date and Expiration Date for the authorization.
Enter the Authorization Number.
Select Submit.

Edit an Authorization

Go to: Avatar PM > System Maintenance > System Definition > Payor Based Authorizations.
Select a Guarantor from the dropdown list.
Choose Select Authorizations to Edit/Delete. Select an authorization to edit.
Edit the fields as described in steps 2-4 of the Add an Authorization section.
Select Submit.

Delete an Authorization

Go to: Avatar PM > System Maintenance > System Definition > Payor Based Authorizations
Select a Guarantor from the dropdown list.
Choose Select Authorizations to Edit/Delete. Select the authorization(s) to delete.
Select Submit.

To view a report of Payor Based Authorizations already in the system, select Display Authorizations.

► Registry Settings

► See Also

► SQL Tables

SYSTEM.table_payor_auths