Provider Session Entry

The following will provide you with instructions on how to enter a provider session (claim). After a session is entered, it will appear in the Provider Claim module and Client File.

1. Before entering a session, ensure that you have the Authorization # for each session
   1. Click on New in the title bar
   2. Click on Provider Claim and select EAP Sessions
      
      
2. To enter a new provider session:
   1. Enter the Authorization # and tab over to the next field. The following fields will auto populate: File #, Client name, Organization, Date (session), Duration, Activity Types, Session Cost and Authorized Sessions
   2. The session Date will default to today’s date. Change it to the actual session date If you are entering more than one session, tab across to the next row and enter the same Authorization #. Continue until all sessions are entered.
   3. If you have another session (claim) to enter, click on Next Provider Claim. This will clear the grid and continue with step above.
   4. When you have entered all your claims, click on Save and Close.
      

3. If you enter a session that exceeds the number authorized, the following prompt appears giving 3 options:

a. Deny - This will load a denial letter to be saved as a pdf.  The session is marked as 'Deny' indicating that the provider is not to be paid.  The session is still saved in the file.

b. Warn - This load a warning letter that be saved as a pdf.  This letter can then be attached to an email to be sent to the provider. The session is accepted and marked as 'Warn'.  The provider will still be paid and the session is still saved in the file.

c. Continue - This allow you to continue entering sessions without a letter.  The session will be marked as 'Paid'.