Referral Pre-authorization Transaction-الموافقات المحوله

This feature enables healthcare providers to submit an authorization for a patient to a payer. This mean provider can refer a patient to another facility (Referral Out), where a service or product is available.

To perform Referral Pre-authorization Request Transaction with Package Item, 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

Step 3: Turn on “Referral” option.

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) 

Step 7: Provide Supporting Info (Optional).

Step 8: Enter Items Information (Field with * are mandatory). 

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. If there happens any kind validation error while submitting any Pre-Authorization request, then user will get error message