S-BEN-07 · W19 Benefits and Eligibility · fit: unknown
Record a prior authorization
As a benefits coordinator, I want to record an insurer's authorization for a visit or stay, who gave it, and any additional days or visits, so that the claim carries the authorization number.
| Persona | benefits_coordinator |
|---|---|
| Journey | A patient's coverage is recorded |
| Step | Records a prior authorization Task_11_RecordsAPriorAuthorization |
Scenarios
| S-BEN-07.1 | Given a patient with a private policy, When I record an authorization with the encounter date, insurer, authorization number and date, and the person who authorized it, Then PRIOR AUTHORIZATIONS (#9000046) holds it for the patient with that contact. |
|---|---|
| S-BEN-07.2 | Given an authorization on file, When I add additional authorized days, Then the authorization holds them and its original days are unchanged. |
| S-BEN-07.3 | Given an authorized amount of zero, When I save, Then it is refused. |
| S-BEN-07.4 | Given no encounter date or no authorization type, When I save the authorization, Then it is refused and nothing is filed. |