CL-036Clinical Workflow
Patient-Specific Payer Forms
Clinical Experience & Provider Productivity
Recommended pathTo be confirmed with PRN
- Capability status
- To be confirmed with PRN
- Transformation phase
- To be confirmed with PRN
- Effort
- To be confirmed with PRN
Current State / What We Learned
Observed today, as captured in the corrected assessment.
Providers review patient-specific forms for UHC, Cigna, Humana, BCBS and others on paper and manually use information for authorization portals
Desired Future State
The target way of working PRN and Raintree are aiming for.
Eliminate paper review of payer-specific clinical forms
Requirement / Gap
Digitize forms and make relevant clinical data readily available
Raintree Recommended Path
Review Kiosk/Portal/custom forms and structured capture options by payer/region
Dependencies / Considerations
Payer-specific forms and regional variation
Outstanding Questions / Decisions
Need the form examples for further review?
Evidence
Evidence for this opportunity is still to be confirmed.
Source
Detailed Transformation Assessment (Corrected)Related opportunities
Related by workstream and subject matter. These are not stated dependencies unless the assessment says so.