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Care Manager Auth With Pended Svcs

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Generate a report listing pending claimed services for a specified date range.

  1. Go to: Avatar MSO > Care Management Reports > Care Manager Auth With Pended Svcs
  2. In the Select Individual Or All Care Managers field:
    • Select a care manager
      or
    • Select All to generate a report for all care managers.
  3. In the Include Services On Or After field, enter the report start date.
  4. In the Up To And Including field, enter the report end date.
  5. Click OK.
    Result: The report details authorization information, and the following:
    • Proc Code - CPT or revenue code. (C - CPT, R - Revenue) followed by the code.
    • Authorized Amount - authorized service cost.
    • Proc. Code Total - sum of all authorized service amounts.
    • Specific Information:
    • Tot Fee Table Amt - cost of service.
    • Expected Disburse - service cost minus a member deductible, or co-pay.
    • Amt Billed - charge amount entered in the claims processing form.