Executive summary. Give authorization staff one place to read the payer-specific guidance your organization maintains.
Definition
Payer Rules is the Attergo Authorizations reference area for payer-specific operating guidance.
Who this is for
Authorization managers who maintain the guidance, and the specialists who apply it.
How to begin
Open Authorizations, select Payer Rules, and find the payer before preparing a case. Read the effective guidance and any notes your team has added.
Complete the workflow
Where guidance looks incomplete or out of date, route the update to the rule owner rather than adjusting case information to compensate.
Frequently asked questions
Are payer rules a substitute for payer confirmation?
No. Use them as an operational reference, and verify current payer requirements when a case turns on them.
Referenced standards and further reading
- Attergo product guide ↗Attergo
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