Doctors Referral Express
Provider's Training Guide

Table of Contents

Chapter 1. Product Overview

About DRE

 

Chapter 2. Logging into DRE

Obtaining Access to DRE

Logging In

Changing a Password

 

Chapter 3. Welcome Provider

Provider Alerts

Static Reports

Other Resources - Tool

Forms

Links

 

Chapter 4. Navigating DRE

Software Function Buttons

Search Buttons

Informational Buttons

Action Icons

Work Area

 

Chapter 5. Inbox Functionality

Provider Information

Member Roster

Your Claims

 

Chapter 6. Processing an Authorization/Referral Request

New Request – screen fields:

New Request – Diagnosis/Procedure screen fields:

New Request - Service Detail screen fields:

Submitting the Request for Approval

New Cases

Notifying the Requestor About the Determination

Searching for Procedure and Diagnosis Codes

Canceling a Case

 

Chapter 7. Appealing a Review Determination

Receiving New Cases

Submitting an Online Appeal

Appealing a Determination More Than Once

Receiving Appeal Determination Notification

 

Chapter 8. EDI (Electronic Data Interchange)

Send EDI

View EDI History

 

Chapter 9. Opening various document types

Opening PDF Files for Acrobat

Opening DOC Files for Word