Managing Prior Authorizations (Client Chart, Reporting, Claim Center)

Managing Prior Authorizations (Client Chart, Reporting, Claim Center)

Managing Prior Authorizations in the Client Chart

Prior Authorization Report

Reviewing Prior Authorizations from the Claim Center


Overview

Prior authorizations help ensure that services are approved by a client’s insurance before they are provided. Your practice can now add, track, and manage prior authorizations directly within the client chart, making it easier to stay compliant and avoid denied claims.

Where Prior Authorizations Appear

Prior authorizations are located in the Claim Center section of the client chart. Each authorization is tied to a specific insurance plan and includes key details such as:

  • Authorization number

  • Start and end dates

  • Allowed units or visits

  • Service codes covered

  • Specific Provider(s)

  • Remaining units or visits

This gives your team a clear, centralized view of all active and expired authorizations.

How to Add a Prior Authorization

  1. Open the Client Chart.

  2. Navigate to the Claim Center tab.

  3. Choose the tab called Prior Authorization.

  4. Enter the authorization details, including dates, units, and applicable service codes.

  5. Save your changes.




Tracking Authorization Usage

As sessions are billed, the system automatically deducts units or visits from the authorization (when applicable). Users can view:

  • Total authorized units/visits

  • Units/visits used

  • Remaining balance

  • Authorization expiration date

This helps prevent over‑utilization and reduces the risk of claim denials.

Prior Authorization Report Overview

The Prior Authorization Report gives your practice a centralized view of all active, expiring, and expired prior authorizations across your client base. This report helps billing teams, administrators, and clinicians stay ahead of authorization requirements, prevent denials, and ensure services are delivered within approved limits.

What the Report Shows

The report displays key details for each authorization, including:

  • Client name

  • Insurance plan

  • Authorization number

  • Start and end dates

  • Total authorized units or visits

  • Units or visits used

This makes it easy to identify which authorizations need attention.

How to Access the Report

  1. Go to Reports.

  2. Select Prior Authorizations from the list.

  3. Select Run Report.

The report updates automatically based on your selections.

Using the Report to Manage Workflows

The Prior Authorization Report helps your team:

  • Identify authorizations that are close to expiring

  • Track clients who are running out of units or visits

  • Follow up with payers or clients before services fall outside authorization limits

  • Support billing accuracy and reduce claim denials

  • Plan scheduling and service delivery based on remaining authorized units



Where Prior Authorizations Appear in the Claim Center

When navigate to the Claim Center, you’ll see a Prior Authorization tab that displays:

  • Authorization code

  • Effective start and end dates

  • Approved units or visits

  • Remaining units (if tracked)

This information helps you quickly confirm whether the service lines on the claim fall within the approved authorization.