APTA Indiana Payer Reporting Portal

The purpose of this portal is to communicate with APTA Indiana real-time payer prior authorization (PA) barriers that impact patient care and practice administrative burden. This portal will remain available until further notice, to be used as reportable events occur. Provider reporting will help APTA Indiana communicate and collaborate these challenges in our state and identify opportunities for improvement with stakeholders. Please complete sections in the portal applicable to your situation and provide an explanation of the payer issues that impact your practice or the patient. 

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Name *
E-Mail Address *
Payer *
Beneficiary Type *

Select the patient population and/or condition represented by this entry:

Dx. ICD 10 Code(s) (optional)
How many visits have been authorized to date? *
Which request is payer problem related to?
Visits or Units Requested
Visits or Units Approved
Turnaround to Receive Approval in Business Days
Reason for Denial Per Payer
Provider Justification for Continued Service
Was there a Peer to Peer Review?
Clear selection

Please provide an explanation of the issue you or the patient is experiencing as a result of the payer PA process or other issue.

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