Common Logic

It is not possible to save a prior request (or an e-/claim ) if one of its activity activities has a mandatory observation that is not selected by the user. Observations are entered on Observations form. 

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LOINC observations

Step 1. Click on Create  Click New Prior Request button. 
       Electronic Prior Request - Authorization form opens. Patient Details tab is active.

Step 2. Go  Go to Procedure Details tab, set:

• • Type = 3 – CPT code;
  • Procedure = 83036.

Step 3. Click on  Click Update observations link label.
       Observations form opens. 

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The following rules work on the form:

1. 1. Type is a drop-down list containing the following values: LOINC, Text.
   2. Code shows Code shows an observation code:

• • • it is a drop-down list that contains LOINC codes mandatory for the selected CPT code;
    • it is a text box if CPT does not have mandatory LOINC codes, so the user can enter any code.

1. 1. Value is Value is a text box showing an observation value.
   2. Value Type shows an observation value type:

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Type, Code, Value and Value Type are mandatory fields for observations. Several observations can be added. An observation can be deleted by pressing the Delete button key on the keyboard.
 

Step 4. Set  Set observations details and click on OK button.
       Observations form closes. Data will  Data is going to be saved after with the request is savedsaving. 

Observations for

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trade drugs

Step 1. Click on Create  Click New Prior Request button. 
       Electronic Prior Request - Authorization form opens. Patient Details tab is active.

Step 2. Go  Go to Procedure Details tab, set:

• • Type = 5 – Trade Drug code;
  • Procedure = 1101A01-0012-673803907-00101.

 
Step 3.   Click on Update observations link label.
       Observations form opens. 

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The grid contains observations added automatically:

1. 1. Type shows an observation type. The column values are not editable.
   2. Code shows Code shows an observation code. The column values are not editable.
   3. Value shows Value shows an observation value. It is a text box available for editing.
   4. Value Type shows  shows an observation value type. It is a drop-down list with predefined values or a text box available for editing (see the table).
       

An observation cannot be deleted.
 

Step 4. Set  Set observations details and click on click OK button.
       Observations form closes. Data will is going to be saved after with the request is savedsaving.