Editing Authorizations

Overview Editing Humana Auths

How to edit a request:

1. After signing in to the Cohere platform and landing on the dashboard, navigate to the patient summary by locating and clicking the specific patient through an existing authorization.
2. From the patient summary, you will be able to view a comprehensive list of previously submitted authorizations in Cohere, including those created by users at your organization and other organizations, if applicable.
3. Select the 'More Detail' button to view the option to edit the details of your request.
4. Select 'Edit' 

• • The request form will populate on your screen. 
  • In addition to the fields in the request, you also have the ability to edit attachments and clinical assessment questions.

Once you have completed making the intended changes, please be sure to press the 'Save' button. In this situation "save" = "submit".

If you need additional support with making edits to your Humana authorizations, please contact Cohere by submitting a support request form.

Claims Information: 

• If you are adding new codes and/or units to your authorization, and you have not submitted a claim yet, please include them in that claim submission.
• If you are adding new codes and/ or units to your authorization, and you HAVE already submitted a claim, please submit a new claim to ensure they are paid properly.

Approved or partially approved authorizations

In addition to editing pended or draft authorizations, you have the ability to edit approved authorizations. Based on the fields that are updated, you will see different messages in the portal informing you how those changes will be handled.

Type of edit	Description	Fields this applies to:
Simple edit	Any edits to these fields will not cause the request to be withdrawn, resubmitted, or creation of a new authorization. The authorization number remains the same.	Adding/ Editing Secondary Diagnosis Changing Provider or Facility to an “In-Network” option Date of Service* Adding Clinical Attachments Edit Clinical Assessment Questions
Withdraw & replace	Edits to these fields will result in the original request being withdrawn and a new service request will be submitted. You will receive a new authorization number for this edit.	Change Primary Diagnosis Changing Provider or Facility to an “Out-of-Network” Option Add Procedure Code(s) Add Visits/ Units
Unable to edit	Please submit a request form or call us to edit these fields.	Care Type (Inpatient/ Outpatient) Place of Service  Removing Procedure Codes(s)

*For authorizations that have expired and one-time procedures that are outside of the given 90-day window, any edits to the service date may cause the result to pend for review.*

Pended authorizations

To edit a pended authorization, navigate to the patient summary by searching for the patient or authorization that you wish to edit. Once on the patient summary, you will be able to view all of the requests for that patient. Within each authorization, you will see a "More detail" button, press this button to view more details about the specific request.