Adding a Referral to a Charge
Referral Authorizations must be attached to charge tickets for billing and to print on the HCFA claim forms. There are three methods for adding a Referral Authorization to a charge: the Charge Entry Manual Method, the Charge Entry Automated Method, and the Informational Only Method.
Tips:
All methods enable the Referral Authorization Number to print in Box 23 of HCFA claim forms or the electronic equivalent.
Do not confuse attaching a referral to a charge and having the Authorization Number print in box 23 of HCFA claim forms with printing a referring provider UPIN in box 17 of HCFA claim forms. They are separate functions. The directions below describe how to attach a referral to a charge. For directions on printing a referring provider UPIN, see Printing a Referring Provider UPIN on HCFA Claim Forms.
The following programs control referral authorization:
Charge Entry Preferences Maintenance: To set up Charge Entry to automatically attach referrals to charges, set the Pull Ref. Auth. Data option default to Yes.
INSight .MCPARAM Record
Insurance Addendum Maintenance: The Referral Authorization Active Option must be Y(es).
Procedures:
To see the procedure for using the...
Charge Entry Manual Method, click More.
Charge Entry Automated Method, click More.
Informational Only Method, click More.