Pre-Authorization Submittal System

Publish Date: 9/24/2024

Description

Pre-Authorization Submittal System will now use Heno Tickets

Overview:

In HENO, authorizations play a crucial role in managing patient insurance policies and ensuring coverage for medical services. This knowledge base article provides a comprehensive guide on how to create authorizations for patients within the HENO platform. By following these step-by-step instructions, users can efficiently set up authorizations for insurance policies, enabling smooth billing processes and ensuring compliance with coverage requirements.

Pre-Auth ticket will be used for communication, etc. while the Pre-Auth is worked.

Steps to Create Authorizations:

Access the Patients Tab Drop-down:

Navigate down to the Pre-Auth Request.

Click on Create:

Select the Patient from the patient drop-down, the patients Case, Policy, Referring Provider, and Treatment Location will auto populate.

Enter the Authorzation Start date and End Date, # of Visits, Request Notes (If Any), and CPT codes.

There is an option to upload any relevant information if needed.

*Then check the Disclaimer box (Note: This box has to be check in order to Create Pre-Auth ticket)

Click on Create to initiate ticket for a Pre-Authorization Request for Patient

• Pre Auth Status - Current Status of the Pre Auth

  • With tickets Authorizations there are ONLY 2 STATUSES

    • Ticket Created
    • Ticket Closed

• Existing Pre Auth will still show under Patients → Pre-Auth Requests
• Pre-Auths must be enabled for Practice in Heno Management