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Table of Contents

Common Logic

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

Observations for Non-Drug Procedures

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

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Step 4. Set observations details and click on OK button.
       Observations form closes. Data will be saved after the request is saved. OBSERVATIONS FOR TRADE DRUGS 

Observations for Trade Drugs

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

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

Type

Code

Value

Value Type

Text

Refills (the number of times a drug may be refilled)

Default value: 0

 


Text

Dose

 


Drop-down list containing the values:
mg
mcg
ml

LOINC

3141-9 (patient weight)

 


kg

Text

Dosage Form (the form in which the drug is marketed for use)

 

 



Text

Route (the route of administration)

 

 



Text

Duration (the duration of the quantity to be dispensed at one time, excluding any refills; e.g. Duration = 1 month, Refills = 2 means that the drug is prescribed for three months)

 


Drop-down list containing the values:
minutes
hours
days
weeks
months
Default: days

Text

Frequency (the number of times the medication is prescribed to be administered during the period identified by ValueType)

 

 



An observation cannot be deleted.
 

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