Provider and Payer queries

Email:

  1. If we create an email with the subject as doc id then it will automatically links it to the document.

  2. If the customer replies to that email then it will also be linked to the document and will be displayed in the comment section of the document.

  3. If the AL no /CL no/Preauth no is not equal to that of the document id and if the tpa sent a separate email requesting any information while mentioning any mentioned number on subject or in the body of the mail then the following steps can help in figuring out the specified document and linking it.

  4. If we know the given AL no /CL no/Preauth no is linked to specific document then we can just specify the details in the reference section on the communication . So that it will be tagged against the document.

  5. To make it easier for listing out the unapproved document , we can create a separate doctype and create the document with the AL no /CL no/Preauth no and its corresponding document id.

  6. To make it easier on listing what emails to select we can have a separate , we can have a child table in which we can list out all the emails that they will be receiving the queries from.

  7. We can loop through the selected emails and parse it and we can check weather there is a AL no /CL no/Preauth no in there or not . If there is any in there then we can check the preauth buffer to find the corresponding document.

  8. Then we can update it in the reference part in the communication .

  9. If any document corresponding to AL no /CL no/Preauth no status changed to completed or similar to it . we can delete the preauth buffer corresponding id in the document.

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