How are Retrospective reviews submitted?
• Log on to OneHealthPort to access iExchange. • Enter claim and request information on iExchange, include your contact information in the “comments” area and actual date of service requested, note in comments that review is retrospective. • Complete the checklist. The checklist that appears is based on the CPT code entered. • Upon completion of the checklist a prior authorization number and a “recommendation” of approve or pend will appear. Final authorization determination will be made by the department. • You will receive communication on authorization status from the department by phone, fax or letter.
