After the referral information is entered, if you find out that the referral will not be admitted, then complete these steps:

1. Pull up the patient from the Select Patient screen.
2. Click the Referral button from the main menu then select the Payers tab.
3. Select the payer and check the Discharged box.
4. Use the calendar drop down box to select a discharge date.
5. Choose the reason of why the patient was not admitted from the Discharge Reason drop-down box.
6. Click the Save Payer button. Note that if the patient has a schedule built, a pop up may appear asking if you want to remove the schedules. 
7. The Referral Information tab will automatically get updated to a discharge reason.  You can change the reason if needed.
8. The admit types numbered from 70-99 are used to indicate the reason that this referral was never admitted. 
9. Click the Save All Patient Data button. The referral has now been changed to not admitted.

 *Note: Most accurate date for discharge to use is the date patient refused.  Make sure the patient status and admit type reflects not admitted.