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How to add a managed visit on a patient account

Managed field dictionary attached

Step 1: Right click on the Managed Visit folder in the Patient Tree and select “New”.

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Step 2: Enter the appropriate Managed Visit information and click “OK”.

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MANAGED VISIT FIELD DICTIONARY

  • Click the Managed Plan drop-down menu to select the insurance plan that the authorization/referral is for.
  • Enter a Referral Description (basic description of what the auth/referral is for)
  • Select a Referral Type (This should always be received)
  • Status will default to and remain as open. You can manually change this to cancelled or closed when needed.
  • Referred To – Enter the resource code (or click ‘Referred To’ to search and select) for the provider that will be performing the procedure(s).
  • Referred By – Enter the referring physician code (or click ‘Referred By’ to search/select) for the provider that referred the patient to your practice.
  • Prior Authorization – Enter the authorization number or details needed on the claim
  • Treat Type – Choose from Consult, Consult/Treat, or Treat, based on the services covered by the authorization.
  • Visits Allowed – Enter the number of visits allowed for the authorization
  • Amt Allowed – Enter the charge amount allowed by the authorization (if a monetary value is allowed in lieu of a number of visits)
  • Start Date/End Date – Enter the start and end date based on the timeframe the authorization is valid. Start date is required.
  • Location – Record the location where the services will be performed (if needed)
  • Diagnosis – Record the diagnosis associated with the authorization (if needed)
  • Free Text – Enter any notes related to the managed visit here. These are for viewing purposes only and will not transmit to a claim.

The bottom portion of the managed visit screen will display any managed visits associated with the patient account. You can single-left-click the managed visit from this section to view/edit any information necessary without the need to close the current window and open a new window.