Prior authorization
Detected at booking, drafted for you, tracked to a decision
Oct 13, 9:40 AM · demo clock
Rhea P.: Checking rules
Rhea P. · Sample Medicare Plan D
Auth required — detected at bookingDone automatically. Rule PA-D-90837 fired when the visit was booked: Sample Medicare Plan D + 90837, 60-minute therapy beyond 8 visits in a plan year.60-minute therapy (90837) · 12 more visits · Owen Price, PMHNP · booked Oct 13, 9:40 AM
Authorization journey
0 of 5 done · Now: Auth required
Rules check runs at bookingAuth required — In progress
The rules engine matched this booking to a prior-auth rule when the visit was booked.
Request drafted — Waiting
Submitted — Waiting
In review — Waiting
Decision — Waiting
Request
Detected automatically. Rule PA-D-90837: 60-minute therapy beyond 8 visits in a plan year.
The request is filled in from intake and visit notes as soon as the rule fires.
Plan portal · simulated
- Portal
- Sample Medicare Plan D
- Reference
- Assigned when sent
- Portal says
- Not sent yet
Nothing is sent anywhere. This shows what the plan portal would answer.
What ran
- Calendar
Booking received
12 more visits booked with Owen Price, PMHNP
DoneDone automatically. Ran automatically — no one had to do this by hand. - WellKeel
Rules engine is checking this booking
Sample Medicare Plan D + 90837
NowDone automatically. Ran automatically — no one had to do this by hand.
Demo clock: each event is a few hours to a day of real time, so a 3–5 day wait plays in seconds.
Work queue
4 open · 2 need you
| Patient | Plan | Service | Status | SLA | Timing |
|---|---|---|---|---|---|
| Sample Medicare Plan D · PA | 90837 × 12 | Checking rules | 4 days left | Rules check running | |
| Sample Medicaid Plan A · PA | 90837 × 24 | Drafted · needs review | 1d 2h left | Drafted automatically this morning | |
| Sample Commercial Plan C · PA | Psych testing 96130 | More info requested | 6h left | Plan asked for a referral letter | |
| Sample Commercial Plan C · PA | 90837 × 12 | Submitted | 3 days left | Usually 5–7 days · we follow up on day 5 | |
| Sample Medicaid Plan A · DE | 90834 × 30 | Approved | Valid through Mar 31, 2027 | ||
| Sample Commercial Plan B · NJ | 90834 | Not required | Cleared automatically at booking |
- Checking rules
Sample Medicare Plan D · PA · 90837 × 12
4 days leftRules check running - Drafted · needs review
Sample Medicaid Plan A · PA · 90837 × 24
1d 2h leftDrafted automatically this morning - More info requested
Sample Commercial Plan C · PA · Psych testing 96130
6h leftPlan asked for a referral letter - Submitted
Sample Commercial Plan C · PA · 90837 × 12
3 days leftUsually 5–7 days · we follow up on day 5 - Approved
Sample Medicaid Plan A · DE · 90834 × 30
Valid through Mar 31, 2027 - Not required
Sample Commercial Plan B · NJ · 90834
Cleared automatically at booking