SA Confirmation Response Details

The SA Confirmation Response Details page contains the information that was received from NY Medicaid. The information transmitted in the Request will be returned and displayed along with a textual response message from NY Medicaid.

Client Information - Includes the patient's ID, name, date of birth, and gender to assist in ensuring confirmation was requested for the proper individual.

Utilization Threshold (UT) / Post and Clear (PC) Response - If sent, descriptive text associated with the corresponding UT or PC response code will be displayed. Three lines of information may be displayed (1) the Action Code, (2) Reference Identification/Certification Number, and (3) Reject Reason Code. Note that certain rejection or follow-up indicators apply to the entire request and therefore the text will span both the UT and PC Response sections and display only two lines of information, (1) Reject Reason Code, and (2) Follow-up Action Code. Responses indicating approval will be displayed in Black, while denial and error responses will be displayed in Red.

Utilization Threshold (UT) / Post and Clear (PC) Unit Information- The number of units for which authorization has been requested. For Rx/Lab Service Authorizations, the Generic Over the Counter, Brand, and Supplies quantities are combined into the "Pharmacy Units" field.

Medicaid Coverage Information - The requested Date of Service is displayed. The format of the date is MM/DD/YYYY.

Once you have reviewed the information displayed on the page, you have two options. You may click the Close button which will set the status of the response to "Viewed" or you may click Worked to mark the response as such, indicating that follow-up has been completed. Both buttons will close the details page and return you to the SA Confirm Activity Worklist.