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Cancel prior request

Cancel prior request

Request cancellation is performed with Cancel Request button on Find Prior Requests form or Cancel request link on Electronic Prior Request form. This action is available only for:

  • Eligibility request in Draft status;
  • Authorization request in a status other than Rejected.

For an authorization request that is already sent, cancellation is also sent to the Post Office. This concerns requests in Waiting for approvalApproved statuses. If the request is canceled and the payer is still replying, the system ignores such a reply. The reply will not be marked as downloaded on Shafafiya. 
For a draft prior request, cancellation is made locally without sending to Post Office.
 

Step 1. Click Find Prior Requests below the menu. 
       Find Prior Authorization Requests form opens.

Step 2. Set a search value and click Search
       The search results grid appears.


Step 3.
 
Select a request with Type = Authorization and Status = Approved.
       Cancel Request button enables for the selected request. 


Step 4. 
Click Cancel Request.
       Cancel Prior Request dialog appears. 


Step 5. 
Click Yes.
       A warning dialog appears informing that the request is sent to Shafafiya. 


Step 6. 
Click OK.
       Prior Request Cancellation dialog closes. The following changes are applied to the request in the search results grid:

    • Type = (Cancelled) Authorization;
    • Status = (Cancelled) Approved.


Step 7.
 
Click View on Find Prior Requests form.
       Electronic Prior Request – Authorization form opens. (CANCELLED) is added to the caption. 

Step 8. Go to Summary tab and check the data.
       Cancellation request summary is available. 


Step 9. 
Click Open cancellation e-claim file.
       The transaction file in XML format opens for viewing. 



ALTERNATIVE WORKFLOWS

Cancel request from Electronic Prior Request form

  1. Click on Find Prior Requests
    Find Prior Authorization Requests form opens.
  2. Set a search value and click Search
    The search results grid appears.
  3. Select a request with Type = Authorization and Status = Approved and click View.
    Electronic Prior Request – Authorization form opens.
  4. Click Cancel request.
    Prior Request Cancellation dialog appears.
  5. Click Yes.
    A warning dialog appears informing that the request is sent to Post Office.
  6. Click OK.
    Prior Request Cancellation dialog closes.


Cancel draft request 

  1. Click Find Prior Requests
    Find Prior Authorization Requests form opens.
  2. Set a search value and click Search
    The search results grid appears.
  3. Select a request with Type = Eligibility and Status = Draft.
  4. Click Cancel Request.
    Prior Request Cancellation dialog appears.
  5. Click Yes.
    An information dialog appears informing that the request is canceled.
  6. Click OK.
    Prior Request Cancellation dialog closes.


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