Automatic Authorizations for Insurance Claims (Standalone)

Using Authorization Watch, you can attach insurance authorizations to your claims. When you submit a claim to insurance and Authorization Watch is enabled, the system will automatically assign the next expiring authorization to the session. This provides a simple, hands-off method for handling authorizations.

How Authorization Watch Works

Every insurance claim you submit goes through Authorization Watch. This feature determines whether an authorization should go on the claim, and if so, which one.

How does the system decide which authorization to use?

When you submit a claim to insurance, the session goes through an automated process to determine whether:

• An authorization should go on the claim
• An authorization is attached yet
• The session count on the authorization needs to be adjusted

Automatic Authorization Match

If the system determines that an authorization is required and you have not indicated which authorization to use, the claim will use the Auth Auto-Match process. These tests determine which authorization to use based on the parameters you set for the authorization.The tests occur in the sequence shown in this image. The columns represent all of the possible parameters. Green shading indicates the parameters that must be met to pass each test. Starting with test I, Therabill will run the four tests in sequential order. If at any point, the session passes the test for an authorization, Therabill will use that authorization. If multiple authorizations are possible, Therabill will order them in ascending order according to the expiration date and the number of sessions remaining. The system will then default to the authorization that will expire first.