Department Denial Workqueues (Pre-Cert, Prior Auth, Referral Denials)
Resolute (Billing)
When PFS needs department expertise to resolve referral, prior authorization, or pre-certification denials, Department users work follow-up workqueues to help resolve those denials. These tip sheets and training resources guide the user through referral, prior authorization, and/or pre-certification denial workflows.
Resources
The following resources provide information on Department Denial Workqueue functionality in Resolute.
- Department PB Denials - (Handout) How to work a department PB denial workqueue.
- Department HB Denials - (Handout) How to work a department HB denial workqueue.
Related Pages
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