Prior Authorization – OculoFlow

OculoFlow Intake Dashboard Patients Schedule Exam Billing Reports Optical Portal Messaging Reminders Scorecards Telehealth eRx AI CDS Prior Auth RCM

PA Requests

–

Active

–

Awaiting Decision

–

Draft

–

Approved

–

Denied

–

Appealed

–%

Approval Rate

–d

Avg Turnaround

Status Distribution

Expiring Soon (≤30 days)

Recent PA Requests

Select a PA request from the sidebar

or create a new one

Approval Rate by Payer

Requests by Service Type

Turnaround Summary by Status

PA Module Settings

Default Urgency

Auto-Submit After Document Upload

Expiry Alert Window (days before expiry)

Appeal Deadline Reminder (days before deadline)

New Prior Authorization Request

Patient ID

Patient Name

Payer Name

Payer ID

Insurance Plan

Member ID

Provider Name

Provider ID

Service Code

Service Type

Urgency

ICD-10 Codes (comma-separated)

Service Description

File Appeal

Appeal Type

Appeal Deadline

Clinical Justification / Reason for Appeal

Schedule Peer-to-Peer

Requesting Physician

Scheduled Date/Time (optional)

Notes

Add Document

Document Type

Document Name

Uploaded By

Add Note

Note

Internal note (not visible to patient)