Prior Approval Items- Physician, Eye Care, Hearing Aid
Prior Approval Items- Physician, Eye Care, Hearing AidThe Prior Approval Items tab for professional requests allows you to input service lines identifying the services that are being requested for the patient. The main body of the tab contains an arrangement of fields with each row representing a requested service line. The following fields are displayed:
Line: The line number of the request. You may not change this field. Note that the request line numbers and the subsequent claim line numbers do not have to match.
Service Date: The estimated or proposed date that the requested service is to be performed. Must be greater than or equal to the current date.
Item/Proc & Modifier: The HCPCS procedure code and the procedure code modifier.
Req'd Quantity: The requested units of services.
Req'd Amount: The requested dollar amount of services.
More Details: This field navigates you to the More Details view of the line.
Remove: This field removes the line from the request.
The More Details view of a line provides a mechanism for you to add more detailed information about a requested line. The Enter More Attachments link allows for the entry of 5 additional attachment fields. The component displays the following fields:
Line, Service Date, Item/Proc & Modifier, Req'd quantity, Req'd Amount: These fields display the information that was entered on the previous page. The data may not be modified from this tab.
Copy Attachments from Line: Allows you to apply attachments used in another line to the current line.
Type: This field may be populated by the associated pop-up and identifies the type of attachment.
Transmission Code: This field may be populated by the associated pop-up and identifies the method by which the attachment will be transmitted to eMedNY.
Control Number: This field identifies the attachment's control number in your records.
Description: This field describes the attachment.
The Comments field allows you to enter free form text that clarifies the request. You may copy comments into the current line from another line in the current PA.
After you have completed the additional items for the current line, choose Close to save the information and return to the previous page. If you wish to abandon the additional items for the current line, choose Clear and you will return to the previous page.