Grady Pump Closet Dispensing Workflow

Breast pumps provided by Breastfeed Atlanta

Quick summary

  • Two submissions per pump. Verify insurance first, then report the pump dispensed. Both use the same online form.
  • Do not release the pump until insurance is verified and the dispense has been reported.
  • Use the exact same patient name and phone both times. Extra spaces cause mismatches.
  • BFA billing contacts you with the verification results before you dispense.
1
Verify insurance
Do this BEFORE dispensing the pump
  1. 1
    Open the verification form.
    Launch the form ↗
    Opens IntakeQ in a new tab
    Other ways to open it
    • Scan the QR code on the breast pump box label
    • Scan the QR code on the Breast Pump Dispensed form
    • Use the link on breastfeedatlantallc.com/grady
    • Type intakeq.com/new/j6iq4w/o7halk into a browser
  2. 2
    First page of the form.
    • Enter the Patient's Legal Full Name
    • Enter the Patient's Phone Number
    • Tap Continue
  3. 3
    Pump Closet Form: fill each section.
    • Section 1 · Provider contact information: Your Name, Your Facility, and Your Best Contact Method
    • Section 2 · Provider contact information (part II): Your Phone, Email, or Fax
    • Section 3 · Purpose of the form: select Insurance Verification Request
    • Section 4 · Upload or manual entry: choose Photo of facesheet (then Select files to upload) or Manual Entry and type the insurance details
    • Final section · Baby's information: Infant's Name, Infant's Sex, and Infant's DOB
  4. 4
    Tap Submit Form at the bottom.
  5. 5
    Wait for BFA billing to contact you with the results before moving to Step 2.
2
Report pump dispensed
After verification, just before handing over the pump
  1. 1
    Complete the paper Breast Pump Dispensed form attached to the pump box.
  2. 2
    Open the same form again.
    Launch the form ↗
    Opens IntakeQ in a new tab
    Other ways to open it
    • QR code on the breast pump box label
    • QR code on the Breast Pump Dispensed form
    • Link on breastfeedatlantallc.com/grady
    • intakeq.com/new/j6iq4w/o7halk
  3. 3
    First page of the form.
    Important Enter the exact same name and phone number used during verification. The fields are sensitive to extra spaces, so accuracy matters here.
    • Enter the Patient's Legal Full Name
    • Enter the Patient's Phone Number
    • Tap Continue
  4. 4
    Pump Closet Form: fill each section.
    • Section 1 · Provider contact information: Your Name, Your Facility, and Your Best Contact Method
    • Section 2 · Provider contact information (part II): Your Phone, Email, or Fax
    • Section 3 · Purpose of the form: select Report pump dispensed
    • Section 4 · Upload pic of completed form: tap Select file(s) to upload, choose Take Photo or Video, and photograph the completed Breast Pump Dispensed form
  5. 5
    Tap Submit Form at the bottom.
  6. 6
    The pump can now be dispensed to the patient.