Claims Form: Prior Authorization - Box 23

For some insurance policies, prior authorization is required before the service is rendered in order for services to be reimbursed. Please contact the insurance payer directly to obtain prior authorization. Once you receive an authorization number, you can document it in the claim form. 

Prior Authorization from the Healthie form will populate Box 23 on the CMS 1500 claim form

Add an Authorization Number to Client Profile

Document your insurance notes and benefit details in the Client Profile > Insurance Section > Edit Eligibility

You'll find more information on completing insurance eligibility details here. 

If you do not have an insurance plan documented for the client yet, you'll be prompted to add one. 

In the insurance eligibility details, you'll see an option to select Insurance Authorization Required > Add an Authorization Number.

The Authorization Number is the code that the insurance payer will give you directly. Enter it here for it to automatically populate into Box 23 on the claim form.

Once update, the authorization details will appear on the Client Profile page for quick reference, along with any other benefits details you've added (ie. number of authorized visits, start/end date of benefits, etc). 

Update Insurance Authorization 

If an Authorization Number is required for a client, it's common for a new authorization to be obtained every year, or even every session. If you need to update the Authorization Number on file

Client Profile > Insurance Section > Edit Eligibility > Authorization Number > Reset

You'll be prompted to confirm that you'd like to add updated authorization details for the client. Past details will be removed and cannot be restored.