> ## Documentation Index
> Fetch the complete documentation index at: https://docs.getsolum.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Reviewing a Prior Authorization

Once a prior authorization has been submitted, you can track its progress, review results, and take action directly from the **Prior Authorizations** section. This is where you will see every request your team has submitted, along with its current status and all related details.

***

## Quick Start

1. Go to **Prior Authorizations** in the left menu.
2. Find the request you want to review in the table.
3. Click on the prior auth to open the details panel.
4. Check the **Status** to understand where the request stands.
5. Review the **Activity** **Timeline** on the right side for updates and any action required.
6. If partially approved, scroll down to submit an appeal or choose not to appeal.

***

## The Prior Authorizations Table\\

<Frame>
  <img src="https://mintcdn.com/solumhealth/f2eGSRzrr4O-naYN/images/Prior-Auth.png?fit=max&auto=format&n=f2eGSRzrr4O-naYN&q=85&s=dbd77ee508b822a38ff196feeb11cd5b" alt="Prior Auth" width="2924" height="1872" data-path="images/Prior-Auth.png" />
</Frame>

When you open **Prior Authorizations**, you will see a table with all submitted requests. Each row includes:

| Column                   | What it shows                                        |
| ------------------------ | ---------------------------------------------------- |
| **Status**               | The current stage of the request                     |
| **Type**                 | The authorization type (Assessment, Treatment, etc.) |
| **Patient Name**         | The patient the request was submitted for            |
| **Insurance**            | The payer the request was submitted to               |
| **Provider**             | The requesting provider                              |
| **Authorization Number** | The number assigned by the payer once approved       |
| **Submitted**            | The date the request was sent                        |
| **Created By**           | The team member who created the request              |
| **Created Date**         | The date the request was created in Solum            |

Click on any row to open the full details for that prior authorization.

***

## Understanding Statuses

### 🕐 Pending

This is the first status assigned after you submit a prior authorization. It means Solum has received your request and is processing it. Once all the information has been reviewed and submitted to the payer, the status will update.

<Note>
  You will receive an email notification whenever the status on your prior authorization is updated.
</Note>

***

### ℹ️ Extra Information Needed

The payer has requested additional information before they can process the request, or there is a document still pending before submission.

Open the prior authorization and check the **Timeline** on the right side. All details about what is needed will be listed there.

<Warning>
  Any additional documents or notes should be added through the **Activity** section on the prior authorization — not by creating a new request. This keeps all information tied to the original submission.
</Warning>

*Caption: The Timeline panel shows all updates and any information requested by the payer or Solum*

***

### ✅ Approved

The prior authorization has been approved with all requested units.

When you click on the prior authorization, you will see:

* **Status** — Confirmed as Approved
* **Result Document** — A downloadable copy of the approval from the payer
* **AI Result Summary** — A plain-language summary generated by Solum AI explaining the approval details

*Caption: An approved prior authorization showing the Result Document download and AI Result Summary*

***

### ⚠️ Partially Approved

Not all CPT codes or units were accepted by the payer. The **AI Result Summary** will explain exactly what was and was not approved.

From this view, you have two options:

#### Option A — Submit an Appeal

Scroll down to the appeal section and fill in:\\

<Frame>
  <img src="https://mintcdn.com/solumhealth/f2eGSRzrr4O-naYN/images/appeal.png?fit=max&auto=format&n=f2eGSRzrr4O-naYN&q=85&s=43d9ab3d1d0e787c6fc2139b6bf4901b" alt="Appeal" width="2910" height="1610" data-path="images/appeal.png" />
</Frame>

1. **Reason for Appeal** — Explain why the original request should be reconsidered.
2. **Peer-to-Peer Call Availability** — Add your availability in case the payer requires a peer-to-peer call with a clinician.
3. **Supporting Documents** — Attach any additional files that support the appeal.

Then submit the appeal request.

#### Option B — Do Not Appeal

If you decide not to pursue an appeal, click the **Don't Appeal** button.

***

### 📋 Appealing

This status appears after a partially approved request has been appealed. Solum is processing the appeal and submitting it to the payer.

***

### ❌ Denied

The prior authorization has been denied by the payer. This can happen due to incorrect dates, insufficient documentation, or a clinical reason the payer did not accept.

Open the prior authorization and review the **Timeline** and **AI Result Summary** for the specific denial reason provided by the payer.

<Note>
  If you believe the denial was in error or want to challenge the decision, contact the Solum team through the **Activity** section and provide any supporting context.
</Note>

***

### 🚫 No Authorization Needed

The payer determined that the CPT codes submitted do not require a prior authorization, or there was another reason the request was returned without an authorization number.

This is not a denial — it means you can proceed with services without an auth on file.

***

## Status Overview

| Status                       | What it means                                    | Action needed?                          |
| ---------------------------- | ------------------------------------------------ | --------------------------------------- |
| **Pending**                  | Submitted and being processed by Solum           | None — wait for update                  |
| **Extra Information Needed** | Payer or Solum needs something before submission | Check Timeline and respond via Activity |
| **Approved**                 | Fully approved with all requested units          | Download Result Document if needed      |
| **Partially Approved**       | Some CPT codes or units not accepted             | Appeal or choose not to appeal          |
| **Appealing**                | Appeal in progress                               | None — wait for update                  |
| **Denied**                   | Request rejected by the payer                    | Review denial reason in Timeline        |
| **No Authorization Needed**  | No auth required for these codes                 | None — proceed with services            |

***

## Important: Where to Add Information\\

<Frame>
  <img src="https://mintcdn.com/solumhealth/Aw3PNzCaZaIr18Er/images/prior-auth-comments.png?fit=max&auto=format&n=Aw3PNzCaZaIr18Er&q=85&s=b99c8449b494502ac39cbd729f1dc4d0" alt="Comments" width="651" height="696" data-path="images/prior-auth-comments.png" />
</Frame>

<Warning>
  All information related to a prior authorization request — additional documents, notes, or follow-up details — must be added through the **Activity** section on that specific prior auth. Do not create a new request to send supplemental information.
</Warning>

This keeps the full history of every request in one place and ensures the Solum team has everything they need without having to search across multiple records.

***

## Email Notifications

You will automatically receive an email notification in the following situations:

* The **status of your prior authorization is updated** (any stage change)
* **Solum AI leaves a comment** on your prior authorization requesting extra information or specific data

<Note>
  Email notifications are sent to the person who originally submitted the prior authorization request.
</Note>

***

## Troubleshooting

| Problem                                   | Fix                                                                                                                                                      |
| ----------------------------------------- | -------------------------------------------------------------------------------------------------------------------------------------------------------- |
| Status has not changed after several days | Check the Timeline for any pending information requests. If nothing is flagged, add a note in the **Activity** section to follow up with the Solum team. |
| Cannot find the authorization number      | The authorization number only appears once the payer has approved the request. It will not be available for Pending, Denied, or No Auth Needed statuses. |
| Result Document is not available          | The document is only available for Approved and Partially Approved statuses. If it is missing, add a note in the **Activity** section.                   |
| Did not receive an email notification     | Check your spam folder. If the issue persists, confirm your email address is correct under your account settings.                                        |
