Prior Authorization Request
Incoming request received via Da Vinci PAS (FHIR). Auto-adjudicated.
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Source: Da Vinci Prior Authorization Support (PAS) — structured FHIR bundle from Acme Medical Group
Request Summary
Auto-Approved Da Vinci PAS
PA-2024-8847291-XYZ
Rocco842 Reichel38
CPT 74181 — MRCP of Abdomen
Acme Medical Group / Dr. Jane Smith
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Submitted Clinical Data (FHIR QuestionnaireResponse)
Reason for MRCP (Clinical Indication)
"Abdominal pain and jaundice with history of T2DM." (Structured provider input)
Has the patient had a recent abdominal ultrasound?
"Yes" (Structured provider input)
Why This Was Auto-Approved
This request was received as a structured FHIR bundle. The data was complete and machine-readable, allowing our rules engine to auto-approve it in seconds.
Without Da Vinci: Incomplete fax or portal upload, manual data entry, pended for clinical review, phone tag. (Days of effort.)
With Da Vinci (CRD + DTR + PAS): Complete, structured request → auto-approve. (Seconds.)