Posting UR Decisions back to your RFAs is a critical step in tracking your RFAs and completing the RFA workflow. Plus, it makes the UR Decision easily available to your billers! Read on for directions on how to add UR Decisions to a Sent RFA.
When more than one UR Decision is sent back for a single RFA, post each UR Decision received individually.
Step 1. Click ‘Add UR Decision’
RFA must be in Received status for Add UR Decision button to be present.
Step 2. For each Requested Treatment on the UR Decision, enter ‘Decision Type’
For Requested Treatments NOT listed on the UR Decision, click the Decision Missing box.
Step 3. Enter ‘Decision Date’
Step 4. Optional: Expiration and Additional Information
The optional Expiration field allows an expiration date for the service to be entered.
The Additional Information field allows for an optional summary of the decision.
Step 5. Optional: Drag and drop or click ‘Browse’ to locate the UR Decision File
Uploading UR Decisions to your RFA is a best practice. In addition to having the document at your fingertips, it will also be available to your billers to attach to bills!
Step 6. Click ‘Add’
Step 7. Click the Edit icon next to Requested Treatment to edit UR Decision
Step 8. Click Trashcan icon to delete UR Decision
Click the Plus sign to add a Decision that was marked as missing