Authorizations

Provider information will pre-fill If using a service package you can use the look-up button to locate the package you want to use Enter in the effective date of the authorization you are requesting Can click on Use Current Date link to put in todays date Click on the calendar icon to use the calendar look-up function Enter the Authorization expiration date For individual services or when a service package fills in Use the look-up button to locate individual services Enter in the effective dates Enter Units requested Click on the calculate button for a total Enter any notes you would like to send to Access Save, send, or cancel Save and Pend – Does not send to Access and you can complete later Process Request- Sends to Access Cancel

Viewing authorization status Pending Submitted for Approval Approved Denies Returned to sender Notification send in System Messages Notification message

Authorizations

ReAuthorizations

ASAM link at the top of the page

ASAM Complete ASAM in the Handouts

Early Terminate/Voiding an Authorization

Early Termination

Specific Service Early Termination Click on Early Terminate This Line link Change the Effective Dates Click on Save or Cancel link

Voiding an Authorization

Service Specific Void Type in the reason for voiding and what service is being voided Click on link Void this Line Warning “Are you sure you want to Void this item” will come up. Click okay. Screen will refresh showing the service voided.