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Step 3. Go to Encounter Details tab and enter the visit details (learn more).


Step 4. 
Go to Procedure Details tab and enter activities details (learn more).

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Save authorization request as a draft

  1. Click New Prior Request button.
    Electronic Prior Request - Eligibility form opens. Patient Details tab is active.
  2. Select a patient using Find Patient field.
  3. Go to Request Encounter Details tab and enter the visit details.
  4. Go to Procedure Details tab and enter activities details.
  5. Click Save as Draft.
    An information dialog appears saying that the request is saved into the database.
  6. Click OK.
    Electronic Prior Request form closes.

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  1. Click Find Prior Requests
    Find Prior Authorization Requests form opens.
  2. ClickClick Add.
    Electronic Prior Request - Authorization form opens. Patient Details tab is active.
  3. Select a patient using Find Patient field.
  4. Go to Encounter Details tab and enter the visit details.
  5. Go to Procedure Details tab and enter activities details.
  6. Click Save & Send.
    A warning dialog appears informing that the request is sent to Shafafiya.
  7. Click OK.
    Electronic Prior Request form closes.

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