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            Prior-Authorization Review SLA Breach Predictions

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            Prior-Authorization Review SLA Breach Predictions

            The Prior-Authorization Review SLA Breach Prediction dashboard shows payers the predicted service-level agreement (SLA) breach scores for prior authorization review requests and the top factors that possibly contribute to the SLA breaches.

            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

            You can access this dashboard on the Care Request and Case record pages. Add and apply a filter for case and care request record IDs to get prediction data specific to a record. The dashboard shows the percentage likelihood of a care request’s prior authorization review breaching the SLA and the top three factors that possibly contribute to the SLA breach.

             
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