This window allows you to add, view and remove authorization requests from a Payor for a Payor Submitter. In addition, the authorization process is supported by E-mail Notifications.
Requesting authorization from a payor that the business has already requested authorization from is considered a duplicate request, and will be rejected if the request if pending, active or inactive due to action by the payor administrator.
You can remove an authorization request from any payor, regardless of its present status. Once an authorization request is removed, it will no longer display on this page. If necessary, you can re-request authorization from the same payor after the authorization has been removed.
You must enter all required fields. The payor name and payor number must match HFS's Payor DB entry exactly.
If a payor is not registered, a message "Payor Not Registered" will display in the Payor Name field.
Warning: If you fail to correctly enter the payor name and payor number 5 times, your account will be locked, and you will be forwarded to the MEDI Account Locked page. You will have to contact Network Services to get your account unlocked. Review HFS's Contact Information for more information.
Review the Requesting Payor Authorization Overview for more information.
Field Name |
Definition |
Validation Rules |
Field Type |
|
Name |
the registered name of the business being displayed |
N/A |
Display Only |
|
Business Type |
the business category of the business being displayed |
N/A |
Display Only |
|
HFS ID Number |
the HFS identification number of the business being displayed |
N/A |
Display Only |
|
Tax ID Number |
the tax identification number of the business being displayed |
N/A |
Display Only |
|
Payor Name |
the name of the payor from which you are requesting authorization |
Required if payor number is entered. Must match the entry on the Payor DB exactly.
|
Text Box |
|
Payor Number |
the HFS identification number of the payor from which you are requesting authorization |
Required if payor name is entered. Must correspond to the entry in the payor name field. Must match the entry on the Payor DB exactly. Must be 3-character alphabetic. |
Text Box |
|
Application |
the application for which you are requesting authorization |
Automatically set to IEC. |
Display Only |
|
Remove |
checkbox for removing previous payor authorization requests |
Not required. If checked, the payor authorization request will be removed, regardless of the authorization status. |
|
|
Payor Name |
the payor's name from a previous request |
N/A |
Display Only |
|
Payor Number |
the payor number from a previous authorization request |
N/A |
Display Only |
|
Application
|
the application for which the authorization was requested |
N/A |
Display Only
|
|
Status |
status of the present authorization request |
N/A |
Display Only
|
|
Current Authorized Transactions |
the transactions that are currently authorized by this payor and the date it was authorized |
N/A |
Display Only |