Providing the IP procedure details
After completing the Procedure Prescreen evaluation, provide IP procedure details on the Authorization Details page.
You will see the prescreen entries displayed as view only in the Procedure Prescreen section when the Procedure Details page opens.
If you need to edit something in the Procedure Prescreen section, you have to go back to the Prescreen page to enter the change. Select Back to Prescreen. After any change, prescreen runs again when you select Next to determine whether procedure is required.
To provide procedure details:
1. From the Level of Urgency list, select the urgency level.
If Urgency Definition is available, select it to see your organization's guidance on choosing urgency levels.
Your organization may require an attestation (acknowledgement that the selection is in compliance with the urgency definition). If so, an attestation window will display. Select Yes to attest. If you select No, TruCare ProAuth will revert your selection to your organization's configured value or back to blank.
2. From the Out of Network Reason menu, select the reason for requesting a facility that is out of network.
Note: This entry displays as required only when an out-of-network provider has been entered in prescreen.3. From the Treatment Type menu, select the type of treatment being requested.
4. View the Requesting Provider and contact information that are carried forward from the Admission details page. This information displays in view only mode.
5. In the Servicing Provider Contact Name field, enter the contact name specified by the provider.
6. Enter the servicing provider contact number for the authorization, including the country code and extension, if any.
7. Enter the servicing provider fax number, including the country code.
8. Specify a secondary diagnosis (or more than one) if needed, using the following steps:
a. Enter a minimum of two characters in the Search by Diagnosis name or Search by Code and select Search.
Use precise criteria to get the best search results; only 50 data entries are shown per search.
To refine your search, select Name contains or Name starts with, enter your new search term, then select Search.
If the characters you enter match a single record, the fields are filled in automatically and you can skip the next step.
b. Choose the correct record (diagnosis name, code, code set) in the search results, scrolling through the list if needed.
The code set includes the diagnosis coding schemes defined in TruCare.
If necessary, select Clear to start over.
You might see a message about a diagnosis code being expired. For more information about expired codes, see Expired diagnosis or procedure codes.
Note: Select + to add another secondary diagnosis.9. If you need to add a note or attachment, do so now.
See Adding notes and attachments to authorization requests for details.
If you try to submit the request without adding a required note or attachment, a message that a note or attachment is required appears on the screen.
10. Select Next and you are moved to the Review page to review inpatient admission and inpatient services.