Prior Authorization Outpatient Department Exemption and ABN ADRs

National Government Services Prior Authorization initiated the process of issuing ADRs to 2025 exempt providers. Historically, claims await a provider’s response in FISS DDE location SB6001. This location has changed to SB6006 for all PA claim requests with post-pay reason codes 58BTP, 58BPP, 58PNP, 58RHP, 58VEP, 58FCP, 58SNP, and 58CVP, in addition to the pre-payment ABN validity review, reason code 5HBO1.

Steps to View and Print ADRs from FISS/DDE Provider Online System

1. Access the claims through the Claims Inquiry screen/option.
2. Type 01 at the FISS/DDE Online System Main Menu and then type 12 on the Inquiry Menu for claims.
3. At the Claims Inquiry screen, type SB6006 in the S/LOC field and press <Enter>. All claims in the SB6006 status and location will be displayed, indicating an ADR has been generated.
4. At the desired claim, type S to the left of the claim under the SEL field and press <Enter>.
5. Locate the ADR letter on page 06 of the claim.

If your facility typically submits ADRs through the Connex portal, you will be able to locate and respond to ADRs within the list.

Related Content

• How to Find and Respond to a Prior Authorization ADR
• Fiscal Intermediary Standard System/Direct Data Entry Provider Online Guide
• NGSConnex User Guide
• Prior Authorization Exemption

Posted 7/9/2025