Diagnostic Test Prior Authorization and Appeals demo
Lab revenue teams see open cases ranked by the payer's clock, each denial quoted beside the policy criterion it rests on and the page that meets it. 1:25
What the demo shows
Prior authorization and appeals for diagnostic labs: each denial matched to its policy line.
Agents read 1,140 open cases: they quote 654 denial reasons, search 9,380 pages and find the passage in 506 cases. Of the 128 due within 14 days, 54 have it on file. Case C-26-18842 has 6 days left: a paternal aunt with ovarian cancer is on page 2 of a counseling note never sent. The specialist opens every source and signs the first-level appeal.
Transcript
- Diagnostic Test Prior Authorization and Appeals works every denial for a lab's genetic tests.
- Eleven hundred forty open cases wait on one rail, by days left to the payer's deadline.
- The agents read each denial and name the policy line it rests on.
- Where the note is missing, they request records, not a losing appeal.
- This case has six days left; the payer says family history falls short.
- Page two of the counseling note, never sent, shows an aunt's ovarian cancer.
- The agents draft the appeal, citing the policy line and that page, and Lavinia submits it.
- Octavian, the lab revenue cycle specialist, must open every source before he can sign.
- His signature stays locked until all five sources are opened, each one read for at least two seconds.
- Out with six days to spare, and five hundred six passages found today.
- Built on Botminds: agents, data, screens and governance on one platform.
The narration as written for the film. Captions are on the player.