SecureHealth Utilization Management
Quick Reference

Prior Authorization Documentation Quality Checklist

Before finalizing your authorization, verify that each item below has been completed.

1. Request Information
  • Member name and ID verified
  • Provider information documented
  • Request type selected correctly
  • Service/procedure documented
  • Diagnosis code(s) included
  • Request received date/time recorded
2. Eligibility & Benefits
  • Eligibility verified
  • Benefit plan reviewed
  • Authorization requirement confirmed
  • Coverage limitations documented (if applicable)
3. Clinical Review
  • Correct clinical guideline used
  • Guideline version documented
  • Clinical information reviewed
  • Medical necessity documented
  • Decision rationale clearly stated
4. Communication
  • Additional information requests documented (if applicable)
  • Provider communication documented
  • Member communication documented
  • Dates and communication methods recorded
5. Final Determination
  • Decision status accurate
  • Effective dates verified
  • Reviewer identified
  • Authorization number recorded (if applicable)
  • Required notifications initiated
Avoid These Common Errors
  • Missing clinical rationale
  • Wrong clinical guideline referenced
  • Missing provider notification
  • Incorrect authorization status
  • Missing dates or timestamps
  • Required attachments not uploaded
  • Case closed before documentation was complete
Best Practices
  • Document while reviewing—not afterward.
  • Use approved terminology and abbreviations.
  • Reference the specific clinical guideline used.
  • Verify all required fields before submitting.
  • Review documentation one final time before closing the case.
Before You Submit — Final Quality Check

Ask yourself:

  • Could another reviewer understand this case using my documentation alone?
  • Is the clinical rationale clear and supported?
  • Have I documented every required communication?
  • Would this documentation pass a quality audit?