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Work queue

Every finding has a priority, an owner and evidence. Open an item to act.

Reminders

22 of 81 open findings · Priority, then due date · Clear filters

Initial approval request needs reviewNoah Bennett · E-6:AUTH-REQUESTUtilization reviewDue 2026-07-31urgent

DMAS fallback — verify payer contract

Source evidence
A-011 · TIME-AUTH-REQUEST
Payer: AETNA · 2.5 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-07-31

Open client record
A reply or acknowledgement does not resolve the finding.
Initial approval request needs reviewJordan Ellis · E-1:AUTH-REQUESTUtilization reviewDue 2026-09-24urgent

DMAS fallback — verify payer contract

Source evidence
A-011 · TIME-AUTH-REQUEST
Payer: ANTHEM · 2.1 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-09-24

Open client record
A reply or acknowledgement does not resolve the finding.
Initial approval request needs reviewSofia Grant · E-4:AUTH-REQUESTUtilization reviewDue 2026-09-24urgent

DMAS fallback — verify payer contract

Source evidence
A-011 · TIME-AUTH-REQUEST
Payer: HUMANA · 2.1 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-09-24

Open client record
A reply or acknowledgement does not resolve the finding.
Initial approval request needs reviewAisha Cole · E-7:AUTH-REQUESTUtilization reviewDue 2026-09-24urgent

Verified payer profile

Source evidence
A-011 · TIME-AUTH-REQUEST
Payer: DMAS · 2.5 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-09-24

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteSofia Grant · SES-12Note authorDue 2026-09-25urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: HUMANA · 2.1 · open

Assigned to
Dana Patel · Note author · Due 2026-09-25

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteSofia Grant · SES-13Note authorDue 2026-09-28urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: HUMANA · 2.1 · open

Assigned to
Dana Patel · Note author · Due 2026-09-28

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteSofia Grant · SES-14Note authorDue 2026-09-28urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: HUMANA · 2.1 · open

Assigned to
Dana Patel · Note author · Due 2026-09-28

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteJordan Ellis · SES-2Note authorDue 2026-09-28urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: ANTHEM · 2.1 · open

Assigned to
Dana Patel · Note author · Due 2026-09-28

Open client record
A reply or acknowledgement does not resolve the finding.
Initial approval request needs reviewAvery Lane · E-20:AUTH-REQUESTUtilization reviewDue 2026-09-28urgent

DMAS fallback — verify payer contract

Source evidence
A-011 · TIME-AUTH-REQUEST
Payer: UHC · 2.1 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-09-28

Open client record
A reply or acknowledgement does not resolve the finding.
Initial approval request needs reviewSam Rivera · E-21:AUTH-REQUESTUtilization reviewDue 2026-09-28urgent

Verified payer profile

Source evidence
A-011 · TIME-AUTH-REQUEST
Payer: DMAS · 2.5 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-09-28

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteJordan Ellis · SES-4Note authorDue 2026-09-29urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: ANTHEM · 2.1 · open

Assigned to
Dana Patel · Note author · Due 2026-09-29

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteJordan Ellis · SES-5Note authorDue 2026-10-02urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: ANTHEM · 2.1 · open

Assigned to
Dana Patel · Note author · Due 2026-10-02

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteMaya Brooks · SES-MISSINGNote authorDue 2026-10-02urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: SENTARA · 2.5 · open

Assigned to
Dana Patel · Note author · Due 2026-10-02

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteJordan Ellis · SES-6Note authorDue 2026-10-05urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: ANTHEM · 2.1 · open

Assigned to
Dana Patel · Note author · Due 2026-10-05

Open client record
A reply or acknowledgement does not resolve the finding.
Attended session is missing its noteJordan Ellis · SES-7Note authorDue 2026-10-05urgent

Attended day still has no note after the next business day

Source evidence
A-023, A-062 · REV-ATTEND-NO-NOTE
Payer: ANTHEM · 2.1 · open

Assigned to
Dana Patel · Note author · Due 2026-10-05

Open client record
A reply or acknowledgement does not resolve the finding.
Initial approval request needs reviewTheo Morgan · E-8:AUTH-REQUESTUtilization reviewDue 2026-10-05urgent

Clock overdue; DMAS-recommended initial filing within 1 business day of service initiation. FFS follows these recommendations; MCO deadlines require the signed payer contract (M-002).

Source evidence
A-011, M-002 · TIME-AUTH-REQUEST
Payer: DMAS · 3.1 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-10-05

Open client record
A reply or acknowledgement does not resolve the finding.
Initial approval request needs reviewEvan Reed · E-3:AUTH-REQUESTUtilization reviewDue 2026-10-07urgent

Clock overdue; Initial requests within 1 business day of admission; a late request starts on the date of receipt.

Source evidence
A-041 · TIME-AUTH-REQUEST
Payer: UHC · MH-PHP · open

Assigned to
Cameron Lee · Utilization review · Due 2026-10-07

Open client record
A reply or acknowledgement does not resolve the finding.
Serious incident reported to DBHDS and the person’s representativeProgram-wide · program:INCIDENT-REPORT-24H:INC-1Utilization reviewDue 2026-10-07urgent

Clock overdue; Level II and III serious incidents are reported within 24 hours of discovery. Date-level only: use the discovery hour.

Source evidence
L-004 · TIME-INCIDENT-REPORT-24H
Payer: Program-wide · Program · open

Assigned to
Cameron Lee · Utilization review · Due 2026-10-07

A reply or acknowledgement does not resolve the finding.
Note text duplicated from another noteMaya Brooks · N5Note authorDue 2026-10-09urgent

Condition requires review

Source evidence
A-023 · NOTE-CLONED
Payer: SENTARA · 2.5 · open

Assigned to
Dana Patel · Note author · Due 2026-10-09

Open client record
A reply or acknowledgement does not resolve the finding.
Note still unsigned after the next business dayMaya Brooks · N6Note authorDue 2026-10-09urgent

Condition requires review

Source evidence
A-023 · NOTE-UNSIGNED
Payer: SENTARA · 2.5 · open

Assigned to
Dana Patel · Note author · Due 2026-10-09

Open client record
A reply or acknowledgement does not resolve the finding.
Claim needs a matching approved noteSofia Grant · CL-ORPHANBillingDue 2026-10-09urgent

Condition requires review

Source evidence
A-034, A-062, F-017 · REV-CLAIM-NO-NOTE
Payer: HUMANA · 2.1 · open

Assigned to
Drew Santos · Billing · Due 2026-10-09

Open client record
A reply or acknowledgement does not resolve the finding.
Service day with no approval covering itSofia Grant · E-4:gapUtilization reviewDue 2026-10-09urgent

Condition requires review

Source evidence
A-011, A-052 · SERVICE-NO-AUTH
Payer: HUMANA · 2.1 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-10-09

Open client record
A reply or acknowledgement does not resolve the finding.