Once a UR Decision is associated with an RFA, a UR Decision Received task automatically generates. To complete this task, enter the details of the UR Decision you received to the appropriate Requested Treatments.
Step 1. Scroll to the UR Decision document received
The UR Decision document is automatically oriented to fit the center of your screen, but you can also orient the document to the right side of your screen by clicking the icon to the right of the center orientation button.
The document can also be opened in a new tab by clicking the ‘View in New Tab’ button
Step 2. Enter the details of the UR Decision for each Requested Treatment
Enter the corresponding decisions for each of your requested treatments from the UR Decision document you received into daisyBill.
If the UR Decision document does not contain a decision for each Requested Treatment on the RFA, be sure and click the ‘Missing’ check box to indicate the UR Decision did not contain a decision for that treatment.
Step 3. Click ‘Save’
Note: A decision must be added to each requested treatment in order to save. If you do not have a decision for a specific treatment, click the ‘Missing’ box next to the UR decision.
Step 4. (Optional) To edit a decision, click the pencil icon next to a treatment
Step 5. (Optional) To delete a UR Decision, click the trash can icon
This removes the UR Decision from the treatment, but it does not remove the UR Decision Document from the RFA. To delete the UR Decision Document from the RFA, refer to Step 7.
Step 6. (Optional) To view the UR decision pdf file, click ‘View’
Step 7. (Optional) To remove the UR Decision Document from the RFA, click ‘Remove from RFA’
This action"unmatches" the UR Decision document from the RFA and creates a Match UR Decision task for the document from this task, the document can either be matched to another RFA or deleted. For more see the Help Article: Match UR Decision Task
You’re all set!