APTA Indiana Payer Reporting Portal
The purpose of this portal is to communicate with APTA Indiana real-time payer prior authorization barriers and impact to 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 to 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. 

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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)
Which request is this?
*
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 share any issues related to the peer-to-peer review. 

Submit
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