PA/DVS Cancel or Revise Request
PA/DVS Cancel or Revise RequestA PA/DVS Cancel or Revise Request may be submitted by either an individual Provider or a Provider Group. If submitted for a Group, the ID must be entered on the claim which applies to the request. A Prior Approval (non-DVS) request must be submitted under an individual provider. The following data may be entered when generating a DVS or Non-DVS Cancel or Revise request.
Enter the desired Review ID Number and click Go, this will return a previously entered PA/DVS that was entered within the ePACES application based on the Review ID Number. If the Review ID was not found the screen will allow a user to enter all header and detail information as generated through an initial Request.
If the Prior Approval/DVS was originally entered in ePACES the information should be pre-filled in. If the PA/DVS was not entered through ePACES the user must enter all of the PA data necessary to complete the revise or cancel transaction before submission.
A selection of Revise Service Request or Cancel Service Request must be selected for the transactions to be processed.
The entry of the PA/DVS information can be entered – similar to an initial Request. Header and line information may be revised or cancelled in this manner.
Line items previously entered in ePACES will be displayed to the user in a non-editable format. If the user needs to revise or cancel, buttons are available on left side to Revise or Cancel the line item. The user will be allowed to edit the line item as they would with an Initial Request Item.
To add new lines three buttons below the line listing will allow the user to Add, Revise, or Cancel new lines that were not previously entered in the PA/DVS in ePACES.
If the PA/DVS was not entered in ePACES the user will need to enter the line number for canceling or revising an existing line of the PA.