How to Save or Submit a Service Authorization Request

You can submit a service authorization request (SA) that contains basic information, such as member, requesting provider, SA information and service line items information. If needed, you can save an incomplete request in order to update and submit it at a later date. An SA is not adjudicated until it is submitted. You can also copy an existing SA to use as a template for a new request or edit an existing request.

On some panels on this page, you can click Add to display additional fields for adding values. Already existing values (if any) are listed in a table. Click a column heading to sort the table according to that information. You can click a table row to see fields for editing values.

If you open a panel with an action bar and add or edit information, before continuing, on the panel's action bar, click Save.

Optionally, you can:

• Add Additional Line Item Information.
• Delete item detail. In the table, click the appropriate row. On the panel action bar, click Delete.
• Reset your entries. To display the information on the page or panel as it appeared when you last clicked Save, click Reset.
• Cancel your entries. To close the page or panel without saving your changes, click Cancel.

To submit an authorization request

1. On the Authorizations menu, point to Submit Authorization Request and click the appropriate authorization request being submitted.
2. On the Basic Service Authorization Info tab of the Submit Authorization Request page, complete the appropriate fields.

   Note: For efficient navigation, the tab is divided into Member, Requesting Provider, Event Provider, Health Care Services Review, Diagnosis, Service Line Items and Reject Reasons panels. To go directly to a specific panel, click the appropriate link at the top of the tab. After you have submitted an authorization, an additional link is available to print the submission page.
   
   Some panels on each tab are closed, by default. Fields in these panels are optional. However, if you do open a closed panel and enter data in a field, then all fields identified with an * (asterisk) in that panel are required.

3. Optionally, on the Patient Event Detail tab, complete the fields.
4. Click Save or click Submit, according to the following:

   • Save - Choose this option if you do not complete the SA request.

     NH MMIS stores the incomplete SA request in a temporary database, assigns a Work in Process status, and assigns a unique ID number. The assigned ID is displayed near the top of the Basic Service Authorization Info tab. The default time allowed to search for, edit a, and submit a saved SA is 15 days. After 15 days, a saved SA is deleted from the temporary database.

   • Submit - Choose this option when you have completed the SA request.

     The New Hampshire MMIS Health Enterprise Portal validates the submitted SA before committing it to the permanent database. If it cannot be validated, it is displayed with an error notification at top, and all errors are highlighted. You can correct the errors and click Submit again, or you can click Save the SA with errors to correct and re-submit at a later date.

     NH MMIS stores the SA request in the permanent database, assigns a "Provider Submitted" SA status, and assigns a unique SA ID number. The assigned SA ID is displayed near the top of the Basic Service Authorization Info tab. NH MMIS also deletes the SA from the temporary database if it was previously saved but not submitted.

5. If you chose to submit your SA, on the Service Authorization Request page, do one of the following:

   • To print a copy of the submission page, click Print Submission Page.

     Note: You must attach this page to the front of any additional documentation that is required for a submitted SA request. There is no need to include a copy of the SA request, itself. You may also want to print a copy of the submission page for your records using your Web browser's printing function.

   • If you have additional SAs to submit, click Submit Another SA and the Submit Authorization Request page is displayed.
   • To return to the Authorizations main page, click SA Main Page.

See Also