CollaborateMD FAQs

• The diagnosis codes sent via HL7 messages are determined and organized using the following logic:

  • Primary Diagnosis/Principal: Always sent in position 1 of the diagnosis code list.
  • Additional Diagnoses/Other: Sent in positions 2–18.
  • Admitting Diagnosis: Always sent in position 19.

  The order (1–35) in which the codes are sent in the HL7 message directly corresponds to where they are mapped—for example, position 1 will always populate the Primary Diagnosis, and positions 2–18 will populate the Additional Diagnoses section.

  Note: Diagnosis codes can only be sent 18 at a time. If your patient has more than 18 diagnosis codes, only the first 18 will be sent.

• In the following scenarios, we recommend extending the existing authorization, rather than creating a new one. This will prevent overlapping authorizations.

  • When the authorization is extended the authorization number doesn’t change.
  • When the authorization status changes, e.g., from New to Pending or Pending to Approved/Denied.

  We also recommend adding "continuation" to the existing comment to document the extension. For more detailed instructions and information on utilization reviews, users can refer to this article.