Requesting Authorization from Brown & Toland
For the Pelvic Health & Rehabilitation Center Using BT CARE

  1. Flowcast
  2. BTCare
  3. Select patient
  4. Authorization/Referrals
  5. New Authorization
  6. Authorization Type – Outpatient Rehab
  7. Requesting Provider – Doctor’s Name
  8. Valid from Date – type “T” then “tab” (should populate with today’s date)
  9. Valid to Date – type “ T + 60” then “tab” (should populate with date 60 days
  10. the future)
  11. Diagnoses – You can enter up to 3 ICD-9 codes.
  12. most common diagnosis we use is muscle spasm, ICD-9 728.85
  13. Under Requested Procedures – type 97001 for “Physical Therapy
  14. Evaluation” and 97140 for and “Manual Therapy Techniques”
  15. Please request 1 unit of 97001 and 4 units of 97140
  16. Provider of Service – Pelvic Health and Rehab Center
  17. In Network – should automatically populate with “Yes”
  18. Type of Therapy – Physical Therapy
  19. Initial Request – Yes
  20. Start Date of Current Treatment – Leave Blank
  21. Number of Visits Already Provided – 0
  22. Comments – Please include patient’s current medical information
  23. Number of Visits Requested – 2 (1 evaluation and 1 follow up visit)
  24. Save – upper right corner
  25. Please have patient contact us to schedule once they receive approval letter

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