{"id":1778,"date":"2024-12-06T16:28:56","date_gmt":"2024-12-07T00:28:56","guid":{"rendered":"https:\/\/www.qualityhealth.org\/adminsimp\/?page_id=1778"},"modified":"2024-12-06T16:33:26","modified_gmt":"2024-12-07T00:33:26","slug":"extenuating-circumstances-around-pre-authorization-admission-notification","status":"publish","type":"page","link":"https:\/\/www.qualityhealth.org\/adminsimp\/extenuating-circumstances-around-pre-authorization-admission-notification\/","title":{"rendered":"Extenuating Circumstances around Pre-Authorization &#038; Admission Notification"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text css=&#8221;&#8221;]<\/p>\n<div class=\"clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item\">\n<p>Identifies situations where obtaining a pre-authorization is extremely difficult if not impossible. Outlines practices to be followed by provider organizations and health plans when these situations arise so that claims will not be denied for lack of pre-authorization.<\/p>\n<\/div>\n<div class=\"field field--name-field-legislative-section field--type-string field--label-above\">\n<div>\n<div class=\"field field--name-field-bpr-file field--type-file field--label-above\">\n<p class=\"field__label\"><strong>BPR Document<\/strong><br \/>\n<span class=\"file file--mime-application-pdf file--application-pdf\"><a title=\"PA- Extenuating Circumstances.pdf\" href=\"http:\/\/www.qualityhealth.org\/adminsimp\/wp-content\/uploads\/sites\/25\/2024\/12\/PA-Extenuating-Circumstances.pdf\" target=\"_blank\" rel=\"noopener\">Extenuating Circumstances around Pre-Authorization &amp; Admission Notification BPR<\/a><\/span><\/p>\n<\/div>\n<div class=\"field field--name-field-bpr-category field--type-entity-reference field--label-above\">\n<p class=\"field__label\"><strong>BPR Category<\/strong><br \/>\nProspective Review &#8211; Medical<\/p>\n<\/div>\n<div class=\"field field--name-field-legislation-page field--type-entity-reference field--label-above\">\n<p class=\"field__label\"><strong>Legislation Page<\/strong><br \/>\n<a href=\"https:\/\/www.qualityhealth.org\/adminsimp\/essb-5346\/\">ESSB 5346<\/a><\/p>\n<p><strong>Legislative Section<\/strong><br \/>\nSection 10 (1) (a) (i)<\/p>\n<\/div>\n<\/div>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"[vc_row][vc_column][vc_column_text css=&#8221;&#8221;] Identifies situations where obtaining a pre-authorization is extremely difficult if not impossible. Outlines practices to be followed by provider organizations and health plans when these situations arise so that claims will not be denied for lack of pre-authorization. BPR Document Extenuating Circumstances around Pre-Authorization &amp; Admission Notification BPR BPR Category Prospective Review &#8211;&#8230;","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"class_list":["post-1778","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/pages\/1778","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/comments?post=1778"}],"version-history":[{"count":2,"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/pages\/1778\/revisions"}],"predecessor-version":[{"id":1781,"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/pages\/1778\/revisions\/1781"}],"wp:attachment":[{"href":"https:\/\/www.qualityhealth.org\/adminsimp\/wp-json\/wp\/v2\/media?parent=1778"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}