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How to fill out the Allscripts Eprescribe Tutorial online
This guide provides a comprehensive overview of how to fill out the Allscripts Eprescribe Tutorial online. By following these steps, users will be able to successfully complete the form while ensuring accuracy and compliance with all requirements.
Follow the steps to complete the Allscripts Eprescribe Tutorial efficiently.
- Press the ‘Get Form’ button to obtain the Allscripts Eprescribe Tutorial and open the document in the designated editor.
- Begin filling out the member information section. Enter the member ID or Medicaid ID followed by their date of birth in the specified format (MMDDYYYY). Complete the last name and first name fields.
- In the requesting provider information section, enter the requesting NPI and TIN. Fill in the requesting provider contact name and requesting provider name, along with their phone number.
- Switch to the servicing provider/facility information. Here, provide the servicing NPI and TIN. Enter the servicing provider contact name, servicing provider/facility name, phone, and fax number.
- In the authorization request section, enter the primary procedure code along with the appropriate modifiers and total units/visits/days. If applicable, add any additional procedure codes.
- Specify the start date or admission date, and provide the end date or discharge date. Ensure that the diagnosis code is accurately entered.
- For school-aged members with disabilities or special needs, answer the questions about the Individualized Education Program (IEP) and therapy services at school.
- Select the outpatient service type by marking an ‘X’ in the appropriate box for the services being requested, including options such as therapy, surgery, or other services.
- Review the form to ensure all required fields are completed. Incomplete forms may lead to rejection. Ensure copies of all supporting clinical information are attached as needed.
- Once all sections are filled, you can save your changes, download, print, or share the completed Allscripts Eprescribe Tutorial.
Start completing your Allscripts Eprescribe Tutorial online today to ensure efficient processing of your requests.
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