Performing Prior Authorization Inquiries

clturner

Performing PA Inquiries • Explain how to perform an inquiry into PAs using either tracking numbers or query criteria. • Explain how to perform an inquiry into 278 batch auto-rejected PAs using the query criteria.

Entering Selection Criteria for Mass Resolve

clturner

In this module, you will learn how to select claims batches for mass resolution by using the search criteria. You will also learn how to create a batch for Mass Resolve and upload batch Excel sheet for resolution.

Creating Mass Adjustment Batches: An Overview

clturner

In this module, you will learn how to enter the selection criteria values for mass replacement/void/resurrection. You will also learn how to upload mass adjustment xls file.