To verify the status of an authorization, follow these steps:

Step 1: From the Authorization/Referral list, select View/Search Authorization.

Step 2: The Authorization/Referral Status Search screen will display as shown below:

Step 3: The first section is where users search for authorizations. Enter search criteria in any of the available fields. The search results will display in the results section below.

Step 4: Click the (+) icon to view the services requested in the authorization. The service information will be visible.

Step 5: The status of the authorization (requested, approved, denied) is displayed in the Authorization No. Status column.

Step 6: To view all of the information for a specific authorization, click on the row for the authorization. This will redirect users to the Authorization/Referral Status Search screen with all of the authorization details.

Note: This screen is only for viewing purposes. Only a few sections are enabled.

Step 7: To add additional details to the current authorization request, click the Additional Details button. The Additional Details screen will populate as shown below.

In the General Details section, select the review date, priority of detail and criteria. Enter the information needed in the Notes field. Click the Add button to save the details.

If you want to edit already added details, click the Edit icon.

Step 8: To view the member’s eligibility details, click the Member Eligibility button. The Member Eligibility screen will populate as shown below.

Step 9: If you want to extend the date of authorization, then click the Extend Authorization button. A message will pop up as follows.

Click the OK button. This will redirect the user to the Auth Expiration Date field. Users can extend by either entering the new authorization expiration date or by entering the number of days in Valid For field.

Step 10: Users can add medication details and edit existing medication details from the Medication section.

Step 11: Users can send additional documentation related to the referral by adding the attachments in the Documents section.

Step 12: Click the Save button to save the updated request.