FO-009Front Office
Authorizations
Patient Access & Front Office Excellence
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.
• Obtains authorizations/ RX
Desired Future State
The target way of working PRN and Raintree are aiming for.
• Potential hybrid solution using AI Agents/ regional centralized SMEs
Requirement / Gap
Unable to see Real time view of rejections/ denials related to FO workflows
Raintree Recommended Path
Agentic AI/RCM
Dependencies / Considerations
Real time view of rejections/ denials related to FO workflows. Effort to eliminate and or reduce denied DOS
Outstanding Questions / Decisions
Not applicable
Evidence
Placeholder remains in source assessment
Source
Detailed Transformation Assessment (Corrected)Related opportunities
Related by workstream and subject matter. These are not stated dependencies unless the assessment says so.