Auth-Job Follow Up: Creating Exception

Auth-Job Follow Up: Creating Exception

The Auth-Job Follow Up Exception is created for:
  1. Partial and full denials
  2. Standard Severity jobs that are not addressed
  3. Non-Medical Emergency jobs if they are not addressed; only to be created between the hours of 8PM and 8AM
  4. The authorizer must call out to the customer between the hours of 8AM and 8PM (customers time).
  5. Medical Emergency jobs if they are not addressed; only to be created between the hours of 10PM and 6AM
  6. The authorizer must call out to the customer between the hours of 6AM and 10PM (customers time).
Creating this exception notifies Support Services that a customer needs to be contacted regarding a Not Covered or Partially Covered Service Request on a Standard Severity Service Job.
The Auth-Job Follow Up Exception is ONLY to be created by Authorizations agents.
  1. Create the exception in Open status.
  2. Enter the appropriate Comment exactly as shown below in the Exception Comment.

    Reason

    Exception Comment

    Not Addressed: The customer needs to be advised of a full denial for their service job.

    NA

    Partial Denial: The customer needs to be advised that items related to their service job will not be addressed.

    PCD

    Non-Covered Charges: The customers job has been approved and has related charges that are not addressed by the warranty.

    NCC


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