Clinical evidence and attestation

Clinical evidence comes from the provider that delivered the care. Each line records its number, the revision, the evidence type, when it occurred, the external record identifier in the provider’s system, the provider, the clinical system it came from and its verification status: Pending, Verified or Rejected. The evidence stays linked to its source; the clinical record itself stays in the provider’s system.

A request moves to Attested only on verified evidence from the authoritative provider. When the evidence arrives, the request’s identity and revision are checked again, and the attestation date is recorded. Rejected or missing evidence leaves the request unresolved, visible on the exception queue, until the provider supplies what is needed.

• Evidence from the source. Each line names the external record and clinical system it came from.
• Verify before attesting. Only verified lines can support attestation. Pending lines wait; rejected lines stay on record with the request unresolved.
• Re-check identity. Attestation re-checks the request’s identity and revision against the evidence.

Agree with each provider how evidence is sent and which clinical systems it comes from. Agree what makes a line verified, such as a matching patient reference and encounter date. Agree who follows up rejected or missing evidence and how quickly. Agree evidence types, such as encounter note, lab result or imaging report.

After the June 4 dermatology session, the provider’s system sends an encounter note with external record ID ENC-77120 from its clinical system. The line arrives Pending. The Provider Network Manager checks the patient reference and date, and it becomes Verified. The request’s identity and revision are re-checked and it moves to Attested with June 5 as the attestation date.

For another patient, the provider sends an encounter note dated a day before the consult. The line is Rejected. The request stays unresolved and appears on the exception queue. The manager contacts the provider, a corrected note arrives and is verified, and the request is attested.

• Evidence Awaiting Verification — Pending evidence lines with type, date, external record and clinical system.
• Evidence Lines — All evidence by verification status.
• Attachment Register — Uploaded files with their visibility and evidence type.

• Session to attested service: Verify the evidence and attest the service.

Connect your providers’ clinical systems before go-live.