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          Design Custom Omnistudio Components for Authorizations

          Design Custom Omnistudio Components for Authorizations

          Use Omnistudio to customize the default Omniscripts and related components so that they match your internal process and fulfill operational requirements for authorizations.

          Required Editions

          Available in: Lightning Experience

          Available in: Enterprise and Unlimited Editions with Health Cloud

          User Permissions Needed
          To customize Omnistudio components:
          • OmniStudio Admin permission set
          • Health Cloud Utilization Management permission set

          After you define custom rules for automating authorization workflows, you can customize the Omnistudio components to refer to those custom rules.

          The Omniscript Designer enables you to preview dynamic web forms as you build them using a drag-and-drop interface. You can update all of the Omnistudio components: Omniscripts, Flexcards, Omnistudio Data Mappers, and Integration Procedures. By customizing and fine-tuning these components, you can offer your users a guided interaction that optimizes their procedures.

          1. From the App Launcher, find and select the OmniStudio app, and select the Omniscripts tab.
          2. Select an Omniscript with of type HealthCloudUM to update, and then click New Version.
          3. Use a different name for the Omniscript per your organization's needs:
            1. Make changes to the logical flow, actions, steps, and elements, and their properties.
            2. Use the custom expression sets that you created earlier for applying the rules.
            3. (Optional) If you want to make changes to the Integration Procedures or Data Mappers, clone the corresponding record, update it to suit your needs, activate, and use it in the customized Omniscript.
          4. After you’ve updated the Omniscript, activate the settings and save your changes.
          5. From the App Launcher, find and select OmniStudio FlexCards.
          6. Select a Flexcard to update:
            1. Click New Version.
            2. Use a different name for the Flexcard.
            3. In the Properties pane, select the corresponding customized Omniscript as shown:
            Clone of Flexcard New Version of Omniscript
            HealthCloudUMPriorAuthIntakeLaunch HealthCloudUM/AuthorizationRequest
            HealthCloudUMAdminFlowLaunch HealthCloudUM/AdminReview
            HealthCloudUMNurseFlowLaunch HealthCloudUM/UMNurse
            HealthCloudUMAuthReviewsLaunch HealthCloudUM/MedicalDirectorReview
            HealthCloudUMAuthReviewsLaunch HealthCloudUM/P2PScheduling
            HealthCloudUMAuthReviewsLaunch HealthCloudUM/P2PReview
            HealthCloudUMConcurrentReviewLaunch HealthCloudUM/AuthorizationRequest
          7. After you’ve updated the Flexcard, activate the settings and save your changes.
          8. Go to the Case Lightning record page.
            Note
            Note Go to the home page of the Utilization Management for Payers app for adding the cloned HealthCloudUMPriorAuthIntakeLaunch FlexCard.
          9. Select Gear icon, and then select Edit Page.
          10. In the Lightning App Builder, add action buttons for each case status using the cloned Flexcard components and set visibility rules.
            1. Place Flexcard components on the page layout.
            2. In the Properties pane for each Flexcard, select the Flexcard name and configure visibility rules, as shown.
            Clone of Flexcard Visibility Rule
            HealthCloudUMPriorAuthIntakeLaunch No action is required to set the visibility rules.
            HealthCloudUMAdminFlowLaunch Record Field > Status Equal Admin Review
            HealthCloudUMNurseFlowLaunch Record Field > Status Equal Nurse Review
            HealthCloudUMAuthReviewsLaunch No action is required to set the visibility rules as they’re predefined based on Case Status equals MD Review and Substatus doesn’t equal Peer to Peer Review Scheduled.
            HealthCloudUMAuthReviewsLaunch No action is required to set the visibility rules as they’re predefined based on Case Status equals Nurse Review and Substatus equals Schedule Peer to Peer Review.
            HealthCloudUMAuthReviewsLaunch No action is required to set the visibility rules as they’re predefined based on Case Status equals MD Review and Substatus equals Peer to Peer Review Scheduled.
            HealthCloudUMConcurrentReviewLaunch No action is required to set the visibility rules as they’re predefined based on Request Type equals Inpatient - Physical Health Review or Outpatient - Physical Health Review.
          11. Activate the settings and save your changes.
            That’s it! Now, when your users access the Case record page, the action button that matches with the current status and substatus of the case is shown. Also, when your users create and review authorization requests, the customized Omnistudio components and rules are used.
           
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