Da Vinci Prior Authorization flow — what happens behind the scenes (not shown in the EMR)

Provider (EMR) CRD DTR PAS Payer
Sending to payer...
Ambulatory
Smith, Jane (Provider)
Mr. Rocco842 Reichel38 | DOB: 1959-06-29 Age: 66 | MRN: c001c133-773a-356f-307a-97e926a32fe2 SSN: ***-**-3698 | Male | 156 Larson Crossing Suite 96, Easton, MA, 00000 Tel: 555-760-7308
Essentials — Prior Auth (simulated portal)

Chart Summary

Problems (8)

  • Educated to high school level (finding) (1977-08-22)
  • Prediabetes (finding) (1990-09-10)
  • Body mass index 30+ - obesity (finding) (1990-09-10)
  • Anemia (disorder) (1992-11-09)
  • Chronic sinusitis (disorder) (2007-04-09)

Medications (8)

  • Hydrocortisone 10 MG/ML Topical Cream (1992-06-15)
  • Loratadine 10 MG Oral Tablet (1992-07-02)
  • NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-Injector (1992-07-02)
  • insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension [Humulin] (2015-11-02)
  • Cefuroxime 250 MG Oral Tablet (2016-03-06)

Allergies (1)

  • Allergic disposition (finding) (Low)

Recent Encounters

  • Encounter for problem (procedure) 2014-02-05 — CURAHEALTH STOUGHTON LLC
  • General examination of patient (procedure) 2013-07-22 — TRINITY FAMILY MEDICINE
  • General examination of patient (procedure) 2011-07-11 — TRINITY FAMILY MEDICINE
  • General examination of patient (procedure) 2010-07-05 — TRINITY FAMILY MEDICINE
  • Encounter for symptom (procedure) 2007-04-09 — CURAHEALTH STOUGHTON LLC

Problem List

ConditionOnsetStatus
Educated to high school level (finding)1977-08-22Active
Prediabetes (finding)1990-09-10Active
Body mass index 30+ - obesity (finding)1990-09-10Active
Anemia (disorder)1992-11-09Active
Chronic sinusitis (disorder)2007-04-09Active
Limited social contact (finding)2010-07-05Active
Social isolation (finding)2011-07-11Active
Metabolic syndrome X (disorder)2013-07-22Active

Medications

MedicationOrderedStatus
Hydrocortisone 10 MG/ML Topical Cream1992-06-15Active
Loratadine 10 MG Oral Tablet1992-07-02Active
NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-Injector1992-07-02Active
insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension [Humulin]2015-11-02Completed
Cefuroxime 250 MG Oral Tablet2016-03-06Completed
Acetaminophen 325 MG / oxyCODONE Hydrochloride 5 MG Oral Tablet2016-03-06Completed
Ibuprofen 200 MG Oral Tablet2016-03-06Completed
Medication2016-07-05Completed

Allergies & Intolerances

SubstanceCriticalityRecorded
Allergic disposition (finding)Low1992-07-02

Encounters

DateTypeLocation
2014-02-05Encounter for problem (procedure)CURAHEALTH STOUGHTON LLC
2013-07-22General examination of patient (procedure)TRINITY FAMILY MEDICINE
2011-07-11General examination of patient (procedure)TRINITY FAMILY MEDICINE
2010-07-05General examination of patient (procedure)TRINITY FAMILY MEDICINE
2007-04-09Encounter for symptom (procedure)CURAHEALTH STOUGHTON LLC
1992-11-09Encounter for check up (procedure)CURAHEALTH STOUGHTON LLC
1992-07-02Encounter for problem (procedure)CURAHEALTH STOUGHTON LLC
1992-06-15Encounter for problem (procedure)CURAHEALTH STOUGHTON LLC

Orders & Prior Authorization

Current order

MRCP of Abdomen — CPT 74181

Ordered today. Prior authorization required by payer.

1. Coverage Requirements Discovery (CRD)

Check if prior authorization is required.

Da Vinci value Real-time response from payer. No phone calls or fax lookup.

Why Da Vinci matters

Without Da Vinci

  • Fax or portal upload
  • 3–5+ days wait
  • Phone tag for missing info
  • Manual data entry at payer

With Da Vinci (CRD + DTR + PAS)

  • Structured, electronic exchange
  • Real-time requirements & response
  • Complete request in one submission
  • Faster approval, better for patient & provider