KBH University

Search for answers or browse our knowledge base.

    Sorry, we didn't find any relevant articles for you.

    Send us your queries using the form below and we will get back to you with a solution.

    Service Billing - Authorization Check Breakout

    Is there a T1041 authorization in place?

    Yes ✅

     

    No ❎

     
     

    Is there an authorization service level component in place for service delivered?

    Yes ✅

     

    No ❎

     
     

    Set as PPS Billing

     

    Determination needs to happen for which authorization to submit.  System will fail activity unit that point in time.

     

    Is there a pending T1041 authorization place?

    Yes ✅

     

    No ❎

     
     

    Is there a pending authorization service level component in place for service delivered?

    Yes ✅

     

    No ❎

     
     

    Pending authorization approved?

    Yes

     

    No

     
     

    Set as PPS Billing

     

    Determination needs to happen for which authorization to submit.  System will fail activity unit that point in time.

     

    Is there a Fee for Service authorization in place?

    Yes ✅

     

    No ❎

     
     

    Set as Fee for Service Billing

     

    Is there a pending Fee for Service authorization in place?

    Yes

     

    No

     
     

    Pending authorization approved?

    Yes

     

    No

     
     

    Set as Fee for Service Billing

     

    Determination needs to happen for which authorization to submit.  System will fail activity unit that point in time. 

     

     

    Determination needs to happen for which authorization to submit.  System will fail activity unit that point in time.

     

    Is there a Fee for Service authorization in place?

    Yes ✅

     

    No ❎

     
     

    Set as Fee for Service Billing.

     

    Is there a pending Fee for Service authorization in place?

    Yes ✅

     

    No ❎

     
     

    Pending authorization approved?

    Yes ✅

     

    No

     
     

    Set as Fee for Service Billing.

     

    Determination needs to happen for which authorization to submit.  System will fail activity unit that point in time.

     

    Determination needs to happen for which authorization to submit.  System will fail activity unit that point in time.

     

    Still can't find what you are looking for?

    Your IT Support team is here for you.

    Contact Support

    Powered by Helpjuice