Retry har baar TPA ko naya email bhejta hai aur roz ki limit (default 20) me ginta hai — tabhi dabao jab Log me error ho. Retry settings ka enable-check chhod deta hai. Email wale TPA par 'Poll' se status nahi badalta (aam taur par 'submitted' hi aata hai). Escalate me note likha to wo claim ke purane Notes ki jagah '[ESCALATED <date>] note' ban jaata hai — 'Mark Approved' wala narrative Notes se hat jaata hai, isliye zarurat na ho to note khaali chhodo. Approved / Denied tab me ye buttons nahi hote, sirf '▾ Log'.
Live Pre-Auth Queue me Poll, Retry aur Escalate kab dabaye?
'⏳ Pending' tab ki row par: 'Poll' = TPA se status dobara poochho (jawab 'Polled — status: …'); 'Retry' = 'Retry pre-auth submission?' confirm karke wahi pre-auth dobara bhejo; 'Escalate' = 'Escalation note (optional):' likh kar claim ko 'under-review' karo. '▾ Log' me When, Kind, Method, Status, Intimation, Fired By, Note dikhte hain.
Where in ORALZY: Billing → Insurance & RGHS → Insurance
Quick steps
- Billing → Insurance & RGHS → Insurance → '🤖 Live Pre-Auth Queue' → '⏳ Pending'
- Row par '▾ Log' dekho — Status error hai ya ok
- Error ho to 'Retry' → confirm karo
- TPA der kar raha ho to 'Escalate' → note (optional) → OK