How to Remove CDAG Protections from Inquiries
The Inquiry Details screen now requires the “Program” field in the “Inquiry Handled By” section. This was done at the request of counties to ensure inquiries could be protected under […]
How to Create Authorization Codes
Authorization Codes are basically a group of procedure codes that are authorized together as a bundle. They all use the same reservoir of authorized units, meaning that if there are […]
Service Request Type Setup
When requesting service authorization, the type of service is required. This would be either SUD, Non-SUD, or Other Health Coverage. This is related to CDAG tracking and how information is […]
Workgroups
Overview Workgroups are essentially a group of staff users. They allow a user to message or assign a set of users at a single time. For example, you can assign […]
Authorization Overview
SmartCare will automatically attach an authorization to a service if the client has an authorization record that matches the following criteria on the service: Program Plan Date of service falls […]
How to Setup a Plan to Require an Authorization
SmartCare provides users with the ability to create a billing rule requiring an authorization to be attached to certain procedures. Please see steps below: Click the Search icon. Type Plans […]
How to Override a Plan Level Authorization Rule for a Specific Client
SmartCare provides users with the ability to create a billing rule requiring an authorization to be attached to certain procedures. This rule can be overridden on a client by client […]
How to Include an Authorization Number on a Claim
SmartCare will automatically include the Authorization Number on either the HCFA or in the 837P claim file if the following criteria has been met: The authorization is tied to the […]
How to Update the Configuration Key for Authorization Units
The Configuration key, AuthorizeZeroClaimUnitServices, provides users with the ability to configure SmartCare to attach an authorization to a service based on the service units. Click the Search icon. Type Config […]
CARE Act CPT/HCPC Code Crosswalk
Navigate to the CARE Act Services to CPT Codes list page. Click on the Search icon. Type in “CARE Act Services” in the search bar. Click to select “CARE Act […]