AUTHORIZATION STATUS USER GUIDE
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- Jade Dalton
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1 AUTHORIZATION STATUS USER GUIDE BlueCross BlueShield of South Carolina and BlueChoice HealthPlan are independent licensees of the Blue Cross and Blue Shield Association
2 AUTHORIZATION STATUS USER GUIDE To review the status of an existing authorization, choose Authorization Status from the Patient Care menu. 2
3 PATIENT SELECTION From the Health Plan menu, choose BlueCross BlueShield Plans, BlueChoice HealthPlan or State Health Plan. You can search for an authorization status by the Social Security Number, Member ID Card number or Database number. Note: Only providers with a registered National Provider Identifier (NPI) on file can access this feature. 3
4 AUTHORIZATION STATUS LIST The Authorization Status List displays the patient s pending and approved authorizations for which you are the rendering provider or facility. This page lists the authorization numbers, authorization status, dates, health care provider and place of service. Only mental health providers can view behavioral health authorizations. Note: You can sort the Authorization Status List by any of the columns, such as Authorization Number, Status and Authorization Period. 4
5 ADVANCED SEARCH OPTIONS In addition to searching by All Available Dates, you can also search by a Specific Beginning Date or Date Range. You can also narrow your results to show only authorizations that you can: Extend Update Appeal Provide Clinical Information For 5
6 AUTHORIZATION DETAIL. The Authorization Detail page lists the authorization number (if approved), the status, authorization period (dates), provider s name, place of service and days/units. There are several different buttons you may see at the bottom of the page depending on the authorization status. If we have approved the authorization, you will see the StatChat and Update buttons. If the authorization is pending or deferred, you will see the Update, Provide Clinical Information and Ask Healthcare Services buttons. If we have denied the authorization, you will see the Update, Request an Appeal and Ask Health Care Services buttons. Note: The Extend button will only show for BlueChoice HealthPlan members with an approved office visit authorization. 6
7 ASK HEALTHCARE SERVICES If you choose Update, Provide Clinical Information, Request an Appeal, Ask Health Care Services or StatChat, you will see the Ask HealthCare Services/StatChat page. You can either send a secure to Health Care Services or use StatChat (during normal business hours) to connect directly to the nursing staff. 7
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