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Pending Additional Information

Pending Additional Information
If Medical Services needs further information to process an authorization request, the request is sent to the PAI list. You can respond by adding comments to the Notes field.

To open a request for editing, click the Edit link. To display the request in read-only mode, click the View link.


The patient.

Reference No.
System-generated number.

Authorization Type
One of the 13 authorization types: Ambulance, Diagnostic Testing, DME/Orthotics/Prosthetics, Drugs Requiring Authorization, Home Care Services, Hospital Admission, Infertility Services, Outpatient Rehab/Therapy, Outpatient/Office Services, Outpatient Surgery, Specialist Referral, Transplant Outpatient, Vaccines Requiring Authorization.

Requesting Provider
The provider requesting prior authorization.

Provider of Service
The facility or provider rendering services.

From Date
The effective date of the authorization.

To Date
The expiration date of the authorization.

The number of authorized treatments.

The number of remaining treatments.