EAP Request Communications to Billing

Benefit Verification & Authorization Communication

1.     Add EAP insurance packages: (will usually be done by PSC however, if scheduling with front desk                                          follow this  process): 

            a.      Scroll to Insurance section in Quickview > Select "Add case policy"

            b.      Search for "EAP" and select the correct insurance package for the EAP

                        

      i.      Note: If a patient is unsure of their EAP insurance provider enter self pay into primary insurance instead                        and  inform them they will need to be self pay until information can be provided.

2.      Add Authorization to insurance package:

            a.      Scroll to insurance policy and select "Add incoming authorization"

            

            b.      Select "Pre-Cert" As the type

            c.      Enter the authorization # into the “Insurance authorization” field. 

            d.      Enter the Start date and End date of the EAP in the “Effective date” field.

            e.       Add the # of visits approved and remaining 

            f.        In “Additional information” enter:

                        i.  EAP contact number

                       ii. The name of the provider that the patient obtained the authorization for

                      iii.  Any CPT codes that are to be billed. Ensure to input the CPT codes in the chart alert as well and                                  inform your provider of the allowed codes.

                

            g.       Under “Associated appointments” add the appointments to the EAP Auth. ONLY add                                                      therapy appointments associated and only the number of visits that are authorized. 

            h.         Select “Save”

            

            NOTE: Do NOT select any associate appointments at this time. 

   

• Related Articles

• Documentation/Billing Corrections (If Not Signing Note)

  Documentation/Billing Corrections (If Not Signing Note) This guide provides step-by-step instructions for rendering providers who need to make corrections to their notes. Confirming Claim Creation Below are key points to review in the billing tab to ...

• Documentation/Billing Corrections (If Signing Note)

  Documentation/Billing Corrections (If Signing Note) This guide provides step-by-step instructions for rendering providers who need to make corrections to their notes. Confirming Claim Creation Below are key points to review in the billing tab to ...

• Spravato Provider Workflow

  Provider – Consult Schedule · The following appointment types will be available for initial Spravato Consults: o New Spravato Consult 60: New-to-Geode patients interested in Spravato. o Est Spravato Consult 60: Existing Geode patients. Provider – ...

• Saving Credit Card On File (Outside of Appt)

  Saving Credit Card On File (Outside of Appt) Overview: How to save a card outside of check in Audience: Front Office Support ***Please use this feature whenever a patient no shows or late cancels for an appointment and wishes to reschedule their ...

• Auto Claim Creation Workflow | Providers

  Auto Claim Creation Workflow Provider Workflow To trigger the automation process, providers must complete the following steps: Confirm Supervising Provider is Selected on the Billing Tab This field is automatically populated with the Supervising ...