An SP authorization request summary includes three parts:

Member ID includes the member identification number, member name, date of birth/age, and gender.

Authorization Details show all the data entered for the authorization request, as shown in the following example.

Authorization details are updated immediately when an authorization request is modified. Continuing from the preceding example, the line item details now show that Service 2 was modified with an extension. The extended service differs from the original service by requested units and place of service.

If there are User Defined Fields (UDFs), they will appear in their associated sections. The following example shows a UDF in the SP Authorization Details area.

Line Item Details includes a breakdown of items in the original request, extensions, and added services. These are shown in the first example in this topic.

If the line items include UDFs, the UDFs are listed in columns on the right side of the line items, as in the following example, in which Additional Detail is a UDF.

The page includes line item determination reasons if the TruCare ProAuth administrator configures their display. Expand a line item to see the reason. Administrators can display reasons for all determination types or limit the display to specific determination types. For example, the reason for Partially Denied determinations might appear, but not for Approved determinations, as in this example for Line Item 8.