Authorization and service utilization tracking

Utilization and Authorization

Anonymized work example

The challenge

Authorization periods, scheduled services, and utilization information were held in separate places, making gaps harder to spot.

SV GLOBAL PH’s administrative support brings dates and usage information into a review queue and flags approaching end dates or mismatches.

The manager has the items requiring confirmation in one place. The provider validates authorization and eligibility decisions.

See the service scope, then tell us where your team needs a clearer handoff.