iBoske | Auth Calls

Create a Decision Tree

Craig Knox Nothing to say

1

0

Follow

Is the call a request for a new authorization? Yes.
Does the member have Medicare primary? No. Yes.
Provider must submit a denial from Medicare with clinical before we will do an authorization..
Is this for an emergency admission? Yes. No.
Build auth shell and have the provider submit the form and clinical via fax number on form. Check filenet for the paperwork..
YAY.