Provider Activity Authorization

Define authorizations for provider activities.

Prerequisites:

• This form is added via MSO 2017 Update 27.

1. Go to Avatar MSO > Provider Management > Provider Activity Authorization.
2. In the Select Provider window, search for and select an MSO contracting provider.
3. In the Create or Edit Authorization field, select and existing record to edit, or Create New to add an authorization.
4. If editing an existing record, filter the available records that appear in the Create or Edit Authorization field by selecting a status category in the Filter Authorizations by Status field. A record's status is based on the selection that was made in the Activity Authorization Status field.
5. The Authorization Number field displays the record's unique numerical ID. When creating a new record, this field will read "Assigned at time of form submission."
6. In the Delete Authorization field, select whether or not to delete this authorization record upon submitting the form.
   Note: Deleting an authorization will permanently remove the record from the system.
7. In the Funding Source field, select the funding source for this authorization.
8. In the Account field, select an account to associate with the authorization. Accounts are defined in the Budget Tracking Account Setup form.
9. In the Start and End Date fields, enter the date range for this authorization.
10. In the Activity Authorization Status field, select whether the record's status is Approved, Denied, or Pended.
11. In the Activity Authorization Status Reason field, select the reason for the status. The available reasons are filtered by the status selected above.
12. In the Authorized Performing Provider field, specify a single performing provider for authorization/activities, if desired.
13. In the Authorized Contracting Provider Program field, specify a single contracting provider program for authorization/activities, if desired.
14. In the Authorization Type field, select the type of activity authorization for this record.
15. In the Authorization Amount field, enter the authorized dollar amount to be used in activity adjudication.
16. In the Authorization Comments field, enter any comments to be transmitted to/received from Netsmart ProviderConnect, if installed.
17. In the Internal Comments field, enter any comments to associate with the authorization record for internal purposes. These will not be transmitted to ProviderConnect.
18. Click Submit.

► SQL Tables

• SYSTEM.prov_act_auth