Where/ how should I enter the requesting provider, ordering physician, and therapist?

Question: Is the requesting provider the ordering physician or therapist?

  • Answer: The requesting provider is the ordering physician and the performing or rendering provider is the PT office. The physical therapist can initiate the auth request once the order is received.

Question: What should we enter in the "ordering provider" field if the patient is direct access?

  • Answer: In direct access states, the physical therapist should be put as both the ordering and rendering provider.




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