Authorizations - Create, Approve, Reject, View, or Edit

Authorizations - Create, Approve, Reject, View, or Edit


Description: In this topic, the user will learn how to create (add a new) an authorization, approve or reject the pending authorization, and edit, view, or reject an authorization. An authorization is an entry that represents an allotment of dollars or units from a funding source to provide a service to a client. An authorization is for one service code and one client.

Role Required: Super User, Billing Team, Authorization, Case Worker with Enable Authorization Management setting enabled

Permission Required: Authorization Admin

Create (Add New) Authorization

  1. Log in to profile

  2. Select Authorization from the main menu

  3. Select Pending Authorizations from the submenu

  4. Click Actions

  5. Select Add New Authorization from the drop-down menu

  6. Complete the Add New Authorization form wizard

    1. Client Name (required)

    2. Account Type (required): Select the account type associated with the appropriate service code

    3. Funding Source: The system auto-populates this field based on the client’s name

    4. Service Code: Select from the drop-down

    5. Vendor (required for Account Type Vendor when the Allow Vendor Authorizations setting is enabled on the service code): Type and select vendor name

    6. Funding Type: The system auto-populates this field based on the account type

    7. Cost Center: The system auto-populates this field based on the client’s name

    8. **Authorization ID Reference (optional)

    9. **Authorization ID Reference 1-5 (optional)

    10. Date (required): Enter the start and end date during which time the service can be provided under this authorization

    11. Expiration Date (required): Enter the date the authorization expires, and a new authorization must be obtained to continue providing this service.

    12. Eligibility Code (optional): Code that denotes the client’s eligibility for this service

    13. Billing Unit: The system auto-populates this field based on the account type

    14. Initial Balance (required): The total units of service that can be provided under this authorization

    15. Monthly Max (required): The maximum units of service that can be provided per month

    16. Weekly Max (required): The total units of service that can be provided per week

    17. Daily Max (required): The total units of service that can be provided per day

    18. Billing Rate (required): The rate per unit of service authorized to bill for as determined by the funding source

    19. Max Daily Billable Units (optional): If completed, billing will switch to daily (at the rate established on the associated service code) after the indicated units of service have been exceeded.

    20. Non billable (optional): Check box if funding source will not be billed for this service

    21. Hide Initial Balance (optional): Check box if initial balance should not display on reports or widgets

    22. Billing Hold: Yes or no options, defaults to no.

    23. Additional budget fields (FI only - optional): For reporting purposes

  7. Click Save and Yes to confirm

Approve or Reject a Pending Authorization

The authorization must be approved before it can be used.

  1. Log in to profile

  2. Select Authorization from the main menu

  3. Select Pending Authorizations from the submenu

  4. View the pending authorization results or use the filters to refine then click Search

  5. Click A to approve the authorization or the red R to reject

  6. Click Yes to confirm

Edit, View, or Reject an Authorization

  1. Log in to profile 

  2. Select Authorization from the main menu 

  3. Select Authorizations from the submenu 

  4. Use the filters to refine and click Search

  5. Click anywhere in the authorization row to open the authorization detail page

  6. Click Actions 

  7. Select Edit Authorization from the drop-down menu

  8. Update or edit the form wizard as needed

  9. To reject an authorization that has a balance (does not have a zero balance):

    1. Select Reject Authorization from the drop-down menu

      1. A red error message will populate if the authorization has punch entries entered against it and the system will not allow the rejection

  10. Click Yes to confirm

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