PixCert for Authorization
Provider: Providence St. Peter Hospital
Dollar Value: $17,979.60
Communication Event: PixCert
Challenge: Denial for lack of preauthorization
Benefit: Recovery of $17,979.60
A financial counselor at Providence St. Peter Hospital used TRACE PixCert to capture benefits/eligibility information from a payer’s web site. The payer later denied the claim for lack of preauthorization. The hospital used the PixCert record for proof of authorization. The payer overturned the denial for $17,979.60.