Referral Authorization

Source Object: Referral Authorization

Overview and Usage: The "Referral Authorization" source object is crucial for managing and tracking patient referrals in the healthcare system. This source object contains information related to referral authorizations, including details about the referral process, the involved providers, and authorization specifications. Here's a breakdown of the key components:

• ANSI Name Code: The ANSI code for the referring provider's name.
• ANSI Specialty Code: The ANSI code for the referring provider's specialty.
• Appointment IDs: The unique identifiers of appointments associated with this referral.
• Department ID: The unique identifier for the department associated with the referral.
• Diagnosis Code: The diagnosis code associated with the referral.
• Document ID: The unique identifier for the document related to the referral.
• End Date: The date when the referral authorization ends or expires.
• Expired: Indicates whether the referral authorization has expired.
• ICD-10 Diagnosis Code: The ICD-10 diagnosis code associated with the referral.
• Insurance ID Number: The unique identifier for the patient's insurance.
• Insurance Package Name: The name of the insurance package related to the referral.
• Last Modified: The date when the referral authorization was last modified.
• Last Modified By: The user or entity that last modified the referral authorization.
• No Referral Required: Indicates whether a referral is required for this patient or service.
• Note: Additional notes or comments related to the referral authorization.
• Notes to Provider: Specific notes or instructions intended for the referring or referred-to provider.
• Procedure Code: The procedure code associated with the referral.
• Referral Authorization ID: The unique identifier for the referral authorization.
• Referral Authorization Number: The unique authorization number for the referral.
• Referral Authorization Type: The type or category of the referral authorization.
• Referral Authorization Units: The units specified within the referral authorization.
• Referred-to Provider ID: The unique identifier for the provider to whom the patient is referred.
• Referring Provider ID: The unique identifier for the referring provider.
• Requisition ID: The unique identifier for the requisition associated with the referral.
• Specialty: The specialty of the referring provider.
• Specialty ID: The unique identifier for the referring provider's specialty.
• Start Date: The date when the referral authorization starts or becomes effective.
• Visits Approved: The number of visits approved as part of the referral authorization.
• Visits Left: The remaining number of visits allowed within the referral authorization.
• Specifies Visits: Indicates whether the referral authorization specifies the number of visits allowed.
• Expiration Date: The date when the referral authorization expires.
• ICD-9 Diagnosis Codes: The ICD-9 diagnosis codes associated with the referral.
• Insurance ID: The unique identifier for the patient's insurance.

The "Referral Authorization" source object is a critical component of the healthcare system, helping to ensure that patients receive appropriate referrals and tracking the authorization and utilization of services.

Mapping Table