Cases and Authorization Overview

Cases and Authorization Overview

Overview

Cases hold information to use for a patient's episode of care, generally for multiple Encounters and Appointments. Common uses include Authorizations, Workers Compensation, Hospitalizations, OB, DME, Accidents, and Pre-certifications which includes the corresponding Insurance Profiles.

Cases can be added from the Patient Dashboard, the Calendar, and Charge entry.

Cases and Authorizations

  • Patient Dashboard: Click the Cases link in the Balance Panel, and then click Add.

  • Charge Entry: When adding or modifying a charge, click the dropdown beside Case and choose Add New.

  • Appointment Schedule: when scheduling an appointment. Click the dropdown beside Case and choose Add New .

Accident Information 

Accident Information is required for Workers Comp Claims. There are also other times this information is used.

 

  • Employment: checks Yes in Box 10a adds EM to ANSI Loop 2300.

  • Auto Accident: Checks Yes in Box 10badds AA GA to Loop 2300.

  • Other Accident: Checks Yes in Box 10c and OA Loop 2300.

  • Employment and Auto Accident: Checks Yes in Boxes 10a and 10b and adds EM AA GA to Loop 2300.


Learn More

  1. Add Cases and Authorizations

  1. Add an Authorization Number without a Case

  1. Add an Authorization to a Case using Countdown

  1. Use Authorization without an Authorization Number

  1. Add a Case to an Appointment

  1. Add a Case for Workers Comp

  2. Delete a Case

  1. Skilled Nursing Facility Case

  1. Case Contacts

  1. New or Custom Case Types

  1. Add a CPT to a Case

  1. Cases for PCP Authorization

  1. Validation Error: The Insurance Profile on the Case ....


    • Related Articles

    • Add a Case and Authorization/Referral

      User Permissions to access Cases Cases can be added in multiple places in the System. Select this link: Cases and Authorization Overview. Case Panel Type: Choose from the dropdown or add your own by choosing Manage (See below for adding Case Types). ...
    • Cases for PCP Authorization

      Create a New Case Type: Choose from the dropdown or choose Manage to create you own. Description: Type the description of the new Case. Example: PCD REFERRAL LSF (Type of Referral plus Assigned Provider ID) Insurance Profile: Choose the applicable ...
    • Add an Authorization to a Case using Countdown

      Add an Authorization to a Case using Countdown Use the Countdown on an Authorization When the Countdown fields are used, a message will be displayed when the Case/Authorization is used on the Scheduling Appointment screen and on the Post/Modify ...
    • Statements/Invoices Overview

      Statements/Invoices Overview Statement and Invoice Profiles must be set up before Statements can be sent. Statements and Invoices must be set up separately. Both require Proofs to be approved. Statement Profiles Setup Statement/Invoice Test Batch and ...
    • Enter a New Charge (Encounter) Manually

      Before entering Charges, attach to a Reference Batch. Close the Reference Batch when finished reviewing the Charges. If the Reference Batch is left open, the Charges will not batch. Accessing the Post (Add/Modify) Charge Screen Use one of the ways ...