Needs Review (Yellow):
This means the appointment is waiting for benefits verification and requires manual review.
Medflow IO will verify the patient's insurance information, so no further action is needed from you at this time.
Quick Note: Eligibility and verification checks are only run within 14 days of the date of service (DOS) to ensure the most accurate and up‑to‑date insurance information.
Pending Auth (Purple):
An insurance authorization is required for this appointment.
Medflow IO has already submitted the authorization request and is currently awaiting a response from the payer.
Authorizations can take up to 30 days after submission
No further action is needed on your part at this time—we’ll update the appointment status once the authorization is approved or denied.
Verified (Green):
The insurance has approved the submitted codes, and the patient’s coverage meets your group’s protocols.
Once the procedure is complete and the patient has been discharged, Medflow IO will place the order for the products.
Verify Address (Orange):
The patient’s demographic information includes a PO Box, but a physical address is required because we cannot ship medical supplies to PO Boxes.
Therefore, Medflow IO is attempting to contact the patient to obtain this information.
If your group is able to get a valid physical address, please send the updated details to [email protected].
Denied (Red):
This means the appointment was not approved.
To find out exactly why it was denied, open the appointment and click “Show All Notes and Comments.”
Most often, this is due to insurance denying the submitted codes. In many cases, the patient’s out-of-pocket (OOP) responsibility falls outside of range for the practice’s coverage rules.
As a result, the patient will not receive the products until the issue is resolved, since orders cannot be placed while the appointment is in Denied status.
Missing Information (Orange):
This appointment is currently labeled as “Missing Information,” which means some key details—such as insurance information, procedure codes, or patient demographics (e.g., DOB, ID)—are missing or invalid.
Please check the “Show Notes” tab to see exactly what information is needed.
Once you have the updated details, send them to [email protected].
After you send the missing information, Medflow IO will review it and update the patient’s appointment details accordingly.
Once the information is confirmed in our system, we will update the appointment status or reverify/resubmit the appointment—this will indicate that we’ve received and processed the information.
Review Patient Cost (Purple):
This status means the appointment is paused while patient costs (copays, coinsurance, deductibles) are reviewed, as the group prefers to discuss costs with the patient before considering auto-denial.
If the patient agrees to receive the products, the status is then changed to Verified with a note added in “Show Notes/Comments.”
Cancelled (Orange):
The appointment was cancelled.
In addition, if a duplicate appointment was created by mistake, this is the preferred status to use—it keeps everything clean and avoids confusion.
Ordered (Green):
The appointment has been finalized, and any necessary medical products have already been ordered.
Unless you’re told otherwise, no additional steps are needed.