Session to attested service

Step by step

1. Schedule the session Care Coordinator

   Care Coordinator schedules the authorized request and records the session with provider, start date and duration. The request moves to Scheduled.

   • Authorized → Scheduled; session at Draft
   • Updates Care requests, Consultation sessions

2. Submit for close Care Coordinator

   After the consult, the provider-attested session is submitted.

   • Draft → Submitted
   • Updates Consultation sessions

3. Approve the close Clinical Reviewer

   The Clinical Reviewer checks the revision, provider, timing, duration and encounter reference against verified evidence and approves the close, or rejects it.

   • Submitted → Approved with decision at, or Rejected
   • Updates Review decisions, Consultation sessions
   ApprovalA person approves before the work moves on.

4. Verify evidence Provider Network Manager

   Evidence lines arrive from the provider's clinical system and are marked Verified or Rejected.

   • Pending → Verified or Rejected
   • Updates Clinical evidence

5. Attest the service Provider Network Manager

   On verified evidence, identity and revision are re-checked and the request moves to Attested with its date. Rejected or missing evidence leaves it unresolved.

   • Scheduled → Attested with attested at
   • Updates Care requests, Clinical evidence

Care Coordinator

, Clinical Reviewer, Provider Network Manager.