Error Message

Service requires authorization and none is available.

Description

This error will appear in the Time Module on a service line whe

n either the payer or the client requires authorizations for services and there has not been an authorization entered or the authorizations information does not match the information on the service line. Review all three possibilities outlined below.

Resolution

Verify if the Payer requires authorizations

Go to the Payers Module.
Double-click on the payer associated with the client.
- The payer's window will open.
Click Payer Rules tab.
Authorizations Required drop-down.
- Yes: authorizations are required.
- No: authorizations are not required.
If changes are made, click Save.

Verify if the Client requires authorizations

Go to the Clients Module.
Double-click on the client line to open their information.
Click the Payers tab.
Select the desired payer from the drop-down menu.
In the Enrollment sub-tab, scroll to the bottom and verify Authorizations Required setting.
- [Payer Default]: Procentive will look to the Payers module to determine if this payer requires authorizations.
- No: authorizations are not required, disregarding what has been setup in the Payers Module.
- Yes: authorizations are required, disregarding what has been setup in the Payers Module.
If changes are made, click Save.

Verify Authorization Details Match Service Line Information

Go to the Clients Module.
Double-click on the client line to open their information.
Click the Payers tab.
Select the desired payer from the drop-down menu.
Click the Authorizations sub-tab.
Enter an authorization if needed or verify authorization details to be sure they match the data entered on the service line in the Time Module.
If changes are made, click Save.

Troubleshooting tips

Is the authorization Staff specific?
Is the authorization Program specific?
Is the authorization out of units?
- Click on the date link at the far left in the Authorization/Date Created column to see how many units have been used and on which service lines.
Are the From and To dates valid dates and cover the date of service being entered?
Does the code on the authorization match the code selected on the service line?
- Hover your mouse over the code on the authorization to see the name of the code. If the code number and name is not the same as the code number and name on the service line this is considered a mismatch and won't allow the authorization to attach to the service line.

Important: Once the cause of an error has been resolved, the original service line must be re-saved in the Time Module by double-clicking on the service line anywhere that is not a blue link (i.e. staff's name) to open and clicking Save once again. If the cause of the error has been resolved then the error will no longer appear in the Time Module.