Setting

Default

Purpose

Clinical.IVT.PreCertDeniedFinal

None

Allows the user to select the PreCert Status "Denied (Final)."

Config.LookupEditor.AUCAdherence

None

Look-up table access for AUCAdherence.

Config.LookupEditor.AUCHardship

None

Look-up table access for AUCHardship.

Config.LookupEditor.AUCMechanism

None

Look-up table access for AUCMechanism.

Config.LookupEditor.AUCRules

REPLACES

Config.LookupEditor.CDSRules

None

Look-up table access for AUCRules.

Config.LookupEditor.AUCStatus

None

Look-up table access for AUCStatus.

Config.LookupEditor.CarrierCategory

None

Look-up table access for CarrierCategory.

Flag.AUCComplete

Full

Displays the AUC Complete flag.

Flag.AUCRequired

Full

Displays the AUC Required flag.

Setting

Default

Purpose

AUCCheckAllCarriers

False

(value = boolean) When True, the AUC rules engine will check against all active carriers for the order.  When False, only the primary insurance will be used.

AUCEnabled

REPLACES

CDSEnabled

False

(value = boolean) When True, the AUC workflow is enabled for RIS for sites that have it enabled.

AUCEnabledPortal

False

(value = boolean) When True, the AUC workflow is enabled for the Provider Portal ordering process for sites that have it enabled.

AUCRequiredStatus

(value = (string)) When not blank, the AUC workflow will prevent items from advancing beyond the indicated status until complete (AUCStatus.Final Flag=True).

PortalAUCUrl

(value = string) URL for a free AUC mechanism website, if desired for providers using the Provider Portal.  Allows provider to launch the website for a non-integrated, Clinical  Decision Support Mechanism.  The external website will likely require the provider to complete a registration process on first use.

GeneralHealthBenefitsServiceType

30,1

(value = string) Service type(s) to use when looking for general health benefits plan name such as service type 30 - Health Benefit Plan Coverage.  If the first service type specified is not found, the 271 -> JSON parser will look at the next service type provided.  For example, by default it will look in ST 30, but if that doesn't exist it will look to ST 1.  If blank, the default 30,1 is used.  (See Resolved Item #26472)