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            Create an App to Get Predicted SLA Breaches for Prior-Authorization Reviews

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            Create an App to Get Predicted SLA Breaches for Prior-Authorization Reviews

            Use the Prior-Authorization Review SLA Breach Likelihood template to create an app that provides prediction scores about the likelihood of prior authorization requests breaching service-level agreements.

            Required Editions

            Available in: Lightning Experience

            Available in: Enterprise and Unlimited Editions of Health Cloud with the Revenue Intelligence for Health license and the CRM Analytics for Healthcare license
            User Permissions Needed
            To create and manage CRM Analytics apps: Manage CRM Analytics Templated Apps
            1. From the App Launcher, find and select Analytics Studio.
            2. Click Create, and then select App.
            3. Select Prior-Authorization Review SLA Breach Likelihood, and then click Continue.
            4. Review the preview page, and then click Continue.
            5. Choose to create an app or to use settings from an existing app, and then click Continue.
              Analytics runs a compatibility check of the data in Salesforce.
              1. If the compatibility check fails, follow the instructions in the error message to resolve the issues, and then try to create the app again.
              2. If the compatibility check completes successfully, click Looks good, next.
            6. Configure these settings in the Care Request Workflow Dates & Tolerance Limit section:
              1. Select a field that stores the start date and time of prior authorization requests.
              2. Select a field that stores the end date and time of prior authorization requests.
              3. Select the number of minutes that prior authorization requests can take beyond the end date and time without breaching the SLA.
                For example, if you select 30 minutes, prior authorization requests that exceed 30 minutes after the due date and time are considered as breaching the SLA.
              4. Click Looks good, next.
            7. Select fields with data that can improve your predictions and click Looks good, next.
            8. Enter a name for your app, and then click Create.
              Creating the app takes a few minutes.
            9. To view your app after the process is complete, refresh the page.

            The app now runs preconfigured recipes to create example, prediction, and predicted score datasets, and a dashboard.

            Important
            Important The Einstein Discovery model that gets the predictions runs only when:
            • A minimum of 400 care requests records are available for filtering, and
            • After filtering care request records based on the app settings, a minimum of 100 care request records that breached the SLA and 100 request records that haven’t breached the SLA are available.

            See Also

             
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