Auth Submission

Authorization requests can be submitted by the user directly through the EZ-NET system. To begin a submission, click Submission in the Auth/Referrals section of the Main Menu to display the Authorization Submission window. Fill all the required fields and click on the button to submit the request.

User can click on the Additional Information button to add the additional information.

Once all of the information has been entered and selected, review the data entered into the Authorization Submission Entry form. Submit the form by clicking the button at the bottom of the page.

To enter another authorization click the button on the Summary of Auth Submission screen (shown below).

The notification dialog box will display the submission status. To review details of an authorization, click on the line that says “Your Tracking number is: ####################” to display the Authorization/Referral Details screen.

When you want to go back to the Authorization Details window, click on the Tracking number Hyperlink.

To view detail for the Member, Referring Physician Information and Performing Physician Information, click on their links (in red text) to display their individual information/detail windows.

NOTE: To print the page, click on the

button.

Patient Eligibility Information

Click on the RED name in the Patient Information section to view the patient’s Eligibility and Member details.

Primary Care Provider Information

Click on the RED name in the Provider Information section to view the provider’s information details. To return to the previous screen, click on the name of the screen you want at the top right of the current screen.

To view additional provider information, click on the Assigned Members, Health Plan Affiliations, or Office Locations buttons. (See ‘Displaying Additional Provider Information’ in the Provider Inquiry section to view these windows.