When an RFA is faxed from daisyAuth, the RFA form and the fax cover sheet include the fax number used to receive Utilization Review (UR) decisions back from claims administrators.
Every practice manages faxes for UR Decisions differently. Read on to see how your practice can manage these UR Decisions.
Step 1. On the navigation bar, click ‘Settings’, then click the name of the Billing Provider
This will navigate directly to the specified Billing Provider.
Step 2. Click the ‘RFA Settings’ tab
Step 3. Click ‘UR Decision Fax Preferences’
Step 4. Select UR Decision Fax Preference
Select one of the four ways to set UR Decision Fax Preference:
daisyAuth Fax Number (Recommended and FREE)
5a.daisyAuth Fax Number (Recommended)
With this option, daisyAuth assigns your Billing Provider a free fax number and updates RFAs and RFA Coversheets to use this fax number. When UR Decisions are faxed to this number daisyAuth automatically creates a task to notify your practice.
When a UR Decision document can be matched to RFA, a UR Decision Received task automatically generates to alert a designated user to review the document and update daisyAuth with the status of each Requested Treatment included on the document (approved, denied, modified, etc).
If a UR Decision document cannot be autmatically matched to an RFA, a Match UR Decision task generates to alert a designated user to review the document and match it to the corresponding RFA. Once the UR Document is matched to an RFA, a UR Decision Received task is generated to alert a designated user to review the UR Decision document and update daisyAuth with the status of each Requested Treatment included on the document (approved, denied, modified, etc)..
This free feature eliminates the need to manually track and match received UR decisions to your RFAs.
Note: Once you opt-in to use a daisyAuth fax number, you will need to reach out to the Help Center to deactivate it.
Related Help Articles:
RFA Task: UR Decision Received
Document Task: Match UR Decision
Click ‘daisyAuth’ Fax Number
Designate a user for ‘Match UR Decision’ task and ‘UR Decision Received’ task. These users can be updated at any time from RFA Task Preferences
Click ‘Confirm’ once your preferences have been set.
5b. Single Fax Number
All RFA forms and fax cover sheets will be populated with a single practice fax number, provided by you, to receive UR Decisions.
Click Edit to change the fax number.
5c. Practice Location Fax Numbers
RFA forms and fax cover sheets will be populated with the fax number assigned to the specific practice location selected on the RFA form to receive UR Decisions.
If this option is chosen, when adding new Practice Locations in the future, Fax Number will be required.
Click Edit next to each location to change the fax number.
5d. Practice Contact Fax Numbers
RFA forms and fax cover sheets will be populated with the fax number assigned to the Practice Contact selected on the RFA form to receive UR Decisions.
If this option is chosen, when adding new Practice Contacts in the future, Fax Number will be required.
Click Edit next to each Practice Contact to change the fax number.
Step 6. Click ‘Save Changes’
Step 7. To view the history of changes made, expand the History section
Simple!