Authorization

An Authorization validation indicates that no valid Authorization is on file for the Patient whose Contract has been configured to require an Authorization for visits. To see this requirement, go to the Admin > Contract Setup page.

In the General section, the Authorization Required checkbox is selected configuring the Contract to require Authorizations for all Patient visits.

On the Patient’s profile, a valid Authorization must be added to the Authorizations/Orders page. If a scheduled visit does not have a valid Authorization, it displays in pink and is held as a Prebilling exception.

To resolve the Prebilling exception, either adjust the Authorization to match the visit details or adjust the visit to ensure the details match the Authorization.

For example, if the visit is pink because it was scheduled for 8 hours, but the Authorization is for 7 hours, then reduce the hours of the visit to 7. Once complete, the visit displays in green and passes the Prebilling validation.