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.
Required Editions
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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 communicate openly 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.