Encounter Details tab
- vickyp
Fig.1 New eligibility request
Fig.2 Approved / rejected eligibility request
Fig.3 New authorization request
Fig.4 Approved / rejected authorization request
Control Name | Type | Default Value / State | Mandatory | Description |
Request Type | drop-down list | preselected (Authorization) / enabled | Yes | Type of a prior request. Default value:
Possible values: Authorization, Eligibility. |
| Request ID | text field | Yes | ||
| Date ordered | date picker | Yes | ||
Encounter start | date picker | checked (today) / enabled | Yes | Visit start date. The latest saved Encounter start is preselected by default in new requests and claims. |
Encounter end | date picker | unchecked (today) / enabled | Yes, if Encounter type = 3 or 4 No, otherwise | Visit end date. Encounter end must be greater than or equal to Encounter start. If the user sets Encounter start > Encounter end, then Encounter end adjusts to Encounter start automatically. The field becomes mandatory if the user selects Encounter type = 3 or 4). |
Encounter type | drop-down list | preselected (1 - No bed + No emergency room) / enabled | Yes | Patient visit type. Possible values:
The latest saved Encounter type will be preselected by default in new requests and claims. |
Diagnosis type | drop-down list | empty / enabled | Yes | Diagnosis type. Possible values:
A request may have:
|
ICD10 diagnosis | text field + [...] selection button | empty / enabled | Yes | Diagnosis from ICD10 code set. Format: code: description. The user can type it manually (e.g. a code) and press Enter key or they can select it from the list which opens by pressing […] button. If Diagnosis Effective Date <= 31 December 2016, the label becomes ICD9 diagnosis: and ICD9 code set is used. |
Selected diagnoses | grid | empty | - | All diagnoses added to the request. The grid contains the following columns:
|
Add this diagnosis to your favourites | link | hidden | - | The link appears when ICD10 diagnosis is set and this diagnosis is not in Favourites list yet. On clicking the link the diagnosis adds to Favourites list and the link disappears. |
Search for your favourite diagnosis | link | enabled | - | On clicking the link Your Favourite Diagnoses form opens where all diagnoses once added to favorites are listed. If the user selects any of them and clicks Select button, the form closes and the diagnosis appears in ICD10 diagnosis field. |
Add new diagnosis (Ctrl + N) | link | enabled | - | On clicking the link (or pressing Ctrl + N) an empty row adds to the Selected diagnoses grid. |
Remove this diagnosis (Ctrl + D) | link | enabled | - | On clicking the link (or pressing Ctrl + D) the highlighted row removes from the Selected diagnoses grid. |
| Authorization no | text field | disabled | - | Authorization number. This value is the same as Authorization no on Procedure Details tab. |
| Authorization start | text field | disabled | - | Authorization start date as per the payer reply. |
| Authorization end | text field | disabled | - | Authorization end date as per the payer reply |
| Authorization result | text field | disabled | - | Authorization result as per the payer reply. |
| Limit | text field | disabled | - | Limit value as per the payer reply. |
| Denial code | text field | disabled | - | Denial code as per the payer reply. |
| Comments | text field | disabled | - | Comment left by the payer. |