Welcome to Covered.

Your office’s approvals, payer numbers, and letters, in one place.Here’s one day at a front desk, with Marisol.

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7:12a.m. · Marisol

Marisol opens the list of approvals her office is waiting on.Covered sorts them by deadline and shows which ones are late.One tap shows the number to call and what to say.

Open requests

Open requests2

JD · MRI, lumbar spineAetna · Medicaid · REF-42Overdue by 1 dayActions

48213 · Physical therapyCigna · job planDue today

AB · HumiraHumana · Medicare Advantage3 days

ApprovedDeniedLog a callWhat to say

Aetna provider line1-888-632-3862

Calling about a prior authorization for J.D., MRI of the lumbar spine, reference REF-42, received October 20. Medicaid’s 7-day deadline passed yesterday.

11:40a.m. · Marisol

The doctor needs to send a letter to get the MRI approved.Marisol answers four questions.Covered writes the letter. The doctor edits it and signs.

Necessity letter

Patient: J.D.
Service: MRI, lumbar spine
Tried first: 6 weeks of physical therapy and NSAIDs
Diagnosis: M54.16, lumbar radiculopathy

To whom it may concern,

I am requesting authorization for an MRI of the lumbar spine for my patient, J.D.

J.D. has had six weeks of physical therapy and NSAIDs without improvement.

The exam shows lumbar radiculopathy (M54.16); imaging will guide treatment.

The MRI is medically necessary. Please approve it.

Sincerely,

Dr. ______________

5:30p.m. · Marisol

The MRI is approved.Marisol marks it done. Covered notes when the approval expires.The list shows what’s left to chase.

6:40p.m.

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