Requests for Authorization (RFAs) are listed on the patient’s Injury page. Use the RFA page to track the RFAs for an injury.
Here’s how the RFA page lets you view and find information:
A. RFA ID and Status
If referencing an RFA in the Help Center, providing the RFA ID allows for quick and efficient look-up. The Status indicates the current stage in the life cycle of the RFA (Incomplete, Received, Pending, etc).
B. To view RFA History, click ‘History’
RFA History provides submission and forwarding information, including fax transmission receipts. In addition, Notes can be added to the RFA History by clicking Add Note. For more information, see the Help Article: RFA History Explained.
C. To edit an RFA, click ‘Edit’
An RFA cannot be edited after submission.
D. To delete an RFA, click ‘Delete’
An RFA cannot be deleted after submission.
E. To copy an RFA, click ‘Copy’
This creates an exact duplicate RFA that can be edited prior to submission.
F. To forward an RFA, click ‘Forward’
You may forward an RFA by email or fax. Select an Adjustor Contact or RFA Contact from the Select Contact dropdown menu, and the contact information will be automatically populated.
For more information, see the Help Article: Forward RFA.
G. To view a Claims Administrator Profile, click the name of the RFA Recipient
H. To view Requested Treatment, see ‘Requested Treatment’ section
Requested Treatment provides a summary of treatment on the RFA.
I. To view Supporting Documents, see ‘RFA Documents’ section
- To upload additional Supporting Document(s), click Add Document
- To view a document, click its Filename
- To delete a document, click the Trashcan icon
J. To view UR Decisions, see ‘Utilization Review Decision’ section
- To edit a UR Decision, click the Pencil icon
- To delete a UR Decision, click the Trashcan icon
K. To upload a UR Decision Document, click the ‘Edit’ button under the ‘Actions’ in the Utilization Review Decision section
Upload Decision changes the RFA Status to the Decision Type selected.
For more information, see the Help Article: Upload Decision.
L. To resubmit an RFA, click ‘Forward’
All the RFA information you need in one place!