End User
What the clinician sees: the items the platform has prepared, with one tap to act.
Prior authorization for MRI lumbar spine
Layla Hassan · MRN 884-221 · Insurance Prior Authorization
pending
AI recommendation
Approve & Submit
Coverage rules met (DHA SOP §4.2). Patient history shows 6 weeks of conservative treatment. Formulary tier confirmed. Documentation complete.
Escalate patient — reports new shortness of breath
Ahmed Karim · MRN 884-097 · Post-Visit Follow-Up
pending
AI recommendation
Approve & Escalate to nurse
Patient responded to 48h check-in with new symptom outside expected recovery profile. Discharge instructions flag this as escalation trigger.
Audit Trail
07:42Insurance Prior Auth Agent
Generated draft for PA-2041
07:42Insurance Prior Auth Agent
Checked coverage rules · DHA SOP §4.2 (passed)
07:43Insurance Prior Auth Agent
Retrieved patient EHR summary for MRN 884-221
07:44Patient Follow-Up Agent
Logged patient response for FU-2040
07:44Patient Follow-Up Agent
Flagged escalation per discharge SOP