Prescreen messages
When working on the prescreen part of an authorization request, you might see one of these messages.
Prescreen results are controlled by rules set up by the payee. The messages that appear during the prescreen process could include default messages or custom messages. The following table includes some of the possible messages you might see.
Possible prescreen message | Description |
|---|---|
Authorization - Not Required | Approval might not be required for some standard or routine service. |
Authorization - Duplicate Request | The same authorization has been submitted previously. You need to contact the payer for resolution. |
Authorization - Third Party Vendor | You cannot submit a required authorization that a third-party vendor reviews. |
Eligibility - Member Ineligible | The member is not eligible for treatment. |
Servicing Facility - Out of Network | Servicing facility selected is out of network.  Note: This message is informational only. You can continue with the authorization request and IP authorizations with the comprehensive workflow enabled. |
Section Guidelines | A specification for the authorization to be requested. Note: This message might appear when creating SP authorization requests and the IP comprehensive workflow on procedure prescreen. |
Authorization required reason | The reason that an authorization is required might be specified by the payee. |
Authorization auto-approval reason | The reason that an authorization is automatically approved might be specified by the payee. |
Recommended number of LOS-Units reason | The reason for the recommended number of LOS-Units might be specified by the payee. |
Review notes | Authorization review notes might be specified by the payee. |