PROVIDER
PAYMENT DATA PORTAL UPDATE (office.com)
Please be informed that you are expected to
generate your Pa codes for all secondary services,
Steps:
Input the member number of enrollee and find.
Select inpatient or outpatient based on nature
of request (IPD/OPD)
Select non-emergencies for all non-emergency
case and emergency for all emergency cases at REQUEST NATURE
Using your Benefit dictionary, search the
service to know the correct benefit name to select example, all drugs are found
under the benefit name of PRESCRIBED DRUGS AND INFUSION, all general
consultations are found under CONSULTATION GENERAL, lab investigations under
LAB INVESTIGATIONS and so on. NB; ALWAYS REFER TO THE BENEFIT DICTIONARY.
Input the diagnosis in the diagnosis
description box and click on search, diagnosis type is ICD, a variety of
diagnosis will display on your screen, click on the one which matches the
enrollee’s diagnosis and click on add to grid.
Depending on the number of diagnosis and
enrollee has, keep searching and adding to grid until it’s complete.
All lab investigations, ultrasound scans,
x-rays can be found under the service type; SERVICE, all drugs can be found
under the service type; SUPPLY, Admissions under ROOM.
Click on submit and your PA request will be
submitted and generated automatically.