Set Up Peer-to-Peer Scheduling for Authorization Request Reviews | Health Cloud Administration

Help your users to schedule and conduct timely peer-to-peer reviews with healthcare providers to discuss the actual or potential reason for denial of an authorization request.

Available in: Lightning Experience

Available in: Enterprise and Unlimited Editions with Health Cloud and the Lightning Scheduler Add-On license

In this review meeting scheduled by your nurses, the medical directors have an open communication with the requesting provider, resolve conflicting opinions, and help gain alignment.

But, before your nurses can schedule peer-to-peer reviews and your medical directors can conduct the reviews, you must set up peer-to-peer scheduling.

Enable Salesforce Scheduler and Omni-Channel for Utilization Management
Let your users schedule peer-to-peer review meetings with their healthcare providers by enabling Salesforce Scheduler and Omni-Channel.
Create Users and Assign Permissions for Peer-to-Peer Scheduling
Create user records for each medical director and nurse in your organization, then assign them the required permissions to schedule and conduct peer-to-peer reviews.
Make Users Available for Peer-to-Peer Appointment Scheduling
Enable your medical directors and nurses to handle peer-to-peer reviews by setting up operating hours, skills, office locations, and appointment duration for the peer-to-peer review meetings.