Services Pathway and Bundling Recommendations

Get recommendations about the services that are likely to be received by payers based on a member’s primary diagnosis by creating an app using the Services Pathway and Bundling Recommendations template. You also get recommendations about the services that are likely to be requested by providers based on a member’s primary diagnosis and previously submitted authorization requests. Use these recommendations to make quicker clinical determinations and provide timely care.

Available in: Lightning Experience

Available in: Enterprise and Unlimited Editions of Health Cloud with the Revenue Intelligence for Health license