All Requests for Authorization (RFAs) generated in DaisyBill maintain a Status. For efficiency’s sake, it’s important to know what each Status means.
A. Incomplete
An RFA in Incomplete status has been created but not sent. An RFA should only be in Incomplete status if you are still obtaining information for the RFA.
Tasks:
B. Sent
Sent status indicates the RFA is in the process of being transmitted to the recipient. An RFA stays in Sent status until DaisyBill receives confirmation that the fax transmission is successful. The fax confirmation can be found in the RFA History.
Tasks:
None
C. Failed
If after multiple tries an RFA is not successfully transmitted to the recipient, the RFA status changes to Failed. The submitting user is notified via email that the submission RFA failed and to check the number and try again.
Tasks:
D. Received
Once confirmation of the successful fax transmission is received the RFA moves to Received status. The fax confirmation can be found in the RFA History.
Tasks:
E. Processed
When a UR decision is received back for an RFA the response should be recorded by clicking ‘Upload Decision’. Uploading a UR decision changes the status of the RFA to Processed status.
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F. Scheduled
Scheduled status will only appear if the RFA was sent to One Call and the patient has been scheduled for the appointment.
G. Closed
Once a user determines the RFA requires no further work, a user clicks Close to put the RFA in Closed status.
Tasks:
None
You’ll never lose track of an RFA again!