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Use caseUC0062

Check telehealth visits against each clinician's license

A telehealth visit shows where the patient was, but not whether the clinician can practice there. This app checks each visit against the clinician's license for that state and flags what the file leaves unclear.

For the credentialing reviewerCross-domain · Telehealth & Digital Health

Why it matters

Today's manual process, and the same job with the app

A credentialing reviewer at a telehealth company, checking each visit against the clinician's licenses.

✕Today's manual process

1Open each visit record and note where the patient was and which clinician handled it.
2Search the license file for a credential in that state, checked one by one.
3Judge if it's covered manually, weighing status, dates and scope from memory.
4A missed gap means a visit stands with no license backing it, discovered only later.
Every visit checked manually

✓With the app

1Each visit is read with its state and clinician pulled out automatically.
2The license file is checked for a matching credential in that same state.
3Coverage and scope are called in force or not, and reaching the service or not.
4Visits needing a second look are flagged, with the reason stated plainly.
Only unclear visits reach a reviewer

See it work

One real case, read by the app, step by step

LIC-0024's five visits include one with no license on record and one that expired before the visit happened.

Check telehealth visits against each clinician's licenseReference appBuilt to be shaped to your process
  1. 1The visit Five recorded visits for one clinician, each tied to where the patient was.
  2. 2What the record says One credential had already expired by the day of the visit.
  3. 3What it won't guess When the file doesn't say, it answers not determined instead.
  4. 4What's still unsettled Five of the ten calls, the file itself can't answer.
  5. 5The outcome One flag: this file needs a second look before anything is booked.

For engineers

How it is built, and how we measured it

All fourteen steps of the build are written up, from the business case to running it in your own environment.

Kit overview →
16 of 16review flags right, no false alarmsmeasured in 01 Business case →
275 of 275scope calls rightmeasured in 01 Business case →
274 of 275coverage calls rightmeasured in 01 Business case →
68¢to check 50 roster filesmeasured in 07 Unit cost →

The build, step by step

14 steps

Make it yours

What you see is a reference app. We shape it to how you work.

Every part of it is built to change, and none of it means starting over.

Your rulesyour state requirements, renewal windows, and which credentials count as coverage.
Your recordsyour own clinician roster and encounter log, in the format you already keep them.
Your systemsreads from your scheduling and credentialing systems, and hands the flag to your reviewers.
Your screensthe worksheet's columns, wording and layout, matched to how your reviewers already work.

Want this for your team?

Talk to us

We can run this on your own roster and encounter records, inside your environment.

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