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Prior-Authorization Review SLA Breach Predictions

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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