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 |