To perform Request Pre-authorization Transaction, you need to follow below mentioned steps: -
Step 1: login to https://eclaims.waseel.com/en/
Step 2: from left side menu click on Pre Authorization -> Request Pre Authorization page.
Step 3: Search for Beneficiary
Note: Please register a new beneficiary if the record does not exist. Searching for a beneficiary fill the Insurance Plan drop down if the insurance information available otherwise, please add the insurance plan information to the beneficiary details.
Step 4: Enter “Pre Authorization Info” section (all fields with * are mandatory)
Step 5: Enter Care team.
Step 6: Enter Diagnosis Information (Field with * are mandatory)
Note: When pre-authorization type is Optical, healthcare provider will be mandated to fill the Vision Prescription. This section will appear in between Diagnosis and Supporting info.
Step 7: Provide Supporting Info
Supporting info is a useful section to provide information to explain the authorization request medical reasons. For example, chief complaint, attachment for invoice, medical report, hospitalization information, Lab Test results etc. Supporting Info section is optional to provide, however, for medication service, “Days of Supply” must be provided and link to medication-code service. Secondly, for extending a referred patient authorization, “Reason for Visit = Referral” is mandatory
Step 8: Enter Items Information (Field with * are mandatory). Use this section to add product or service information that need an authorization and corresponding pricing breakdown.
Step 9: Enter accident details. It is an optional section under which Healthcare provider need to enter details, if patient encountered any accident.
Step 10: Click on the “Request Authorization” to submit the authorization Request. After filling all the authorization request details, this is the last step to submit authorization.
Note: While submission of Pre-Authorization request, if user missed to enter any mandatory information, then system will give details of missed.
Pre-authorization request Demo : Here