Intelligent Prior Authorization 2025.10.1

The features below are available with this release.

Highlights

  • Prior authorization request functionality.
  • The Prior Authorization Management worklist.
  • The Prior Authorization Request Details page.

Solution Change Details

Solution Change Description, and UI Impact Reference Materials Validation Guidelines Implementation and Maintenance Impact
Prior Authorization Request Functionality

Prior authorization request functionality now is available in Oracle Health EHR.

UI Impact: Workflow (Automatic)

Providers can create prior authorization requests automatically by placing orders using Oracle Health EHR.

USER GUIDE LINK

Verify that you can successfully complete the workflows in the Reference Materials.

Implementation Impact: None

Maintenance Impact: None

Prior Authorization Management Worklist

The Prior Authorization Management worklist now is available for providers.

UI Impact: Workflow (Automatic)

Providers can use the Prior Authorization Management worklist to view, search, and open prior authorization request records.

USER GUIDE LINK

Verify that you can successfully complete the workflows in the Reference Materials.

Implementation Impact: None

Maintenance Impact: None

Prior Authorization Request Details Page

The Prior Authorization Request Details page now is available for providers.

UI Impact: Workflow (Automatic)

Providers can use the Prior Authorization Request Details page to review and submit the details for prior authorization requests.

USER GUIDE LINK

Verify that you can successfully complete the workflows in the Reference Materials.

Implementation Impact: None

Maintenance Impact: None