Operation receipt reconciliation

Step by step

1. Scope the request Care Coordinator

   Care Coordinator Records the patient and consent references, requested units, owner, provider and current revision.

   • Record and verify the handoff
   • Updates Care requests, Operation receipts

2. Authorize care Authorized Clinical Reviewer

   Authorized Clinical Reviewer Checks external authorization evidence and records a professional decision before changing request status.

   • Review and decide
   • Updates Review decisions, Care requests, Operation receipts
   ApprovalA person approves before the work moves on.

3. Reconcile operations Operations Manager

   Operations Manager Reads the original receipt and actual effects before marking a match completed or retaining an exception.

   • Record and verify the handoff
   • Updates Operation receipts, Care requests, Clinical evidence

4. Correct scope Authorized Clinical Reviewer

   Authorized Clinical Reviewer Separates unexecuted cancellation from a reviewed compensation for executed care.

   • Review and decide
   • Updates Care requests, Review decisions, Operation receipts
   ApprovalA person approves before the work moves on.

Care Coordinator

Prepares and coordinates; Authorized Clinical Reviewer makes professional decisions; Operations Manager handles receipt and evidence exceptions; Admin maintains access and practice relationships.