Workspace/Client recordPrivate demo
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Clients / Record workspace

Owen Park

3.7 · HUMANA · Admitted 2026-09-26

Clocks & prior cases

Open an item for evidence, ownership and a review decision.

Initial treatment plan (initial ISP)Owen Park · E-13:ISP-INITIALUtilization reviewDue 2026-09-27important

Clock overdue; Within 24 hours of admission, covering immediate service, health and safety needs.

Source evidence
L-010 · TIME-ISP-INITIAL
Payer: HUMANA · 3.7 · open

Assigned to
Cameron Lee · Utilization review · Due 2026-09-27

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

Mindful Note Review

NoteService dateReadinessReview state
N-SHOW-13-0 →2026-10-02not readynot reviewed
N-SHOW-13-1 →2026-10-03not readynot reviewed
N-SHOW-13-2 →2026-10-04not readynot reviewed

Units ledger

Authorization / payerAuthorizedDelivered / approved / billedRemaining / end
AU-DEMO-13HUMANA · DEMO · day303 / 0 / 0272026-11-02

Claims and remittances

Claim · serviceUnits · payerStatus · related note

No claim has been supplied for this client. An approved note awaiting a claim appears in the audit findings when its billing deadline passes.

Remittances and denial follow-up

ClaimDecision · dateFollow-up

Episode clocks

ClockDueResult / evidence
Initial treatment plan (initial ISP)TIME-ISP-INITIAL2026-09-27failHUMANA · Clock overdue; Within 24 hours of admission, covering immediate service, health and safety needs.
Initial approval request sent to the planTIME-AUTH-REQUEST2026-09-28passHUMANA · Clock met; DMAS-recommended initial filing within 1 business day of service initiation. FFS follows these recommendations; MCO deadlines require the signed payer contract (M-002).
Plan's decision dueTIME-AUTH-DECISION2026-09-29passHUMANA · Clock met; 72 hours from submission for ARTS service authorization requests (A-010, A-060). Receipt is not the anchor.
Comprehensive treatment plan (comprehensive ISP)TIME-ISP-COMPREHENSIVE2026-10-26passHUMANA · Clock met; Within 30 calendar days of starting services, required even if the person is discharged earlier.
Services must start within 30 days of the assessmentTIME-ASSESS-FRESH2026-10-26passHUMANA · Clock met; If services start later than 30 days after the assessment is completed, the assessment has to be redone.
Next treatment plan reviewTIME-ISP-REVIEW2026-10-26passHUMANA · Clock upcoming; At least every 30 calendar days at 3.7, and whenever needs change. A plan not updated on time is "outdated".
Extension (continued-stay) requestTIME-EXT-REQUEST2026-11-01passHUMANA · Clock upcoming; DMAS-recommended window: before authorization ends and no more than 5 calendar days before its end. FFS follows these recommendations; MCO timing requires the signed payer contract (M-002).
Provider's informal appeal at DMASTIME-DMAS-PROVIDER-APPEAL-30Exact anchor unavailableskippedHUMANA · Primary applicable source unavailable: A-029
Member's appeal to the health plan (provider files only with the member's written consent)TIME-MEMBER-APPEAL-602026-11-30passHUMANA · Clock upcoming; 60 calendar days from the date on the notice. A provider needs the member’s written consent and cannot request continued benefits.

Documents in this record

Supplied demo artifacts. Open a document to inspect its type, version and structured evidence.

Document · dateAuthor · statusEvidence
demographics
SHOW-13-FACE
2026-09-26		Jamie Ross (S-08)
signed · version 1
View supplied demo artifact

DEMO RECORD SHOW-13 FACE

No structured element list

Created 2026-09-26T16:00:00-04:00
Signed 2026-09-26T16:00:00-04:00

plan
SHOW-13-PLAN
2026-09-26		Dana Patel (S-01)
signed · version 1
View supplied demo artifact

DEMO RECORD SHOW-13 PLAN

needs, goals, services, agencies, discharge, family, aftercare, pharmacotherapy, choice, signature, levelOfCare

Created 2026-09-26T16:00:00-04:00
Signed 2026-09-26T16:00:00-04:00

assessment
SHOW-13-ASSESS
2026-09-26		Dana Patel (S-01)
signed · version 1
View supplied demo artifact

DEMO RECORD SHOW-13 ASSESS

history, medical, psychiatric, substance, risk, strengths, riskRating, immediateNeeds

Created 2026-09-26T16:00:00-04:00
Signed 2026-09-26T16:00:00-04:00

medication-list
SHOW-13-MEDS
2026-09-26		Dr. Quinn Mercer (S-09)
signed · version 1
View supplied demo artifact

DEMO RECORD SHOW-13 MEDS

No structured element list

Created 2026-09-26T16:00:00-04:00
Signed 2026-09-26T16:00:00-04:00

consent
SHOW-13-CONSENT
2026-09-26		Dana Patel (S-01)
signed · version 1
View supplied demo artifact

DEMO RECORD SHOW-13 CONSENT

signature, signedDate

Created 2026-09-26T16:00:00-04:00
Signed 2026-09-26T16:00:00-04:00

authorization
SHOW-13-AUTH
2026-09-26		Dana Patel (S-01)
signed · version 1
View supplied demo artifact

DEMO RECORD SHOW-13 AUTH

No structured element list

Created 2026-09-26T16:00:00-04:00
Signed 2026-09-26T16:00:00-04:00

note
D-N-SHOW-13-0
2026-10-02		Dana Patel (S-01)
signed · version 1
View supplied demo artifact

DEMO NOTE 13 0

setting, intervention, response, goal, humanSemanticReviewed

Created 2026-10-02T16:00:00-04:00
Signed 2026-10-02T16:00:00-04:00

Open Note Review →
note
D-N-SHOW-13-1
2026-10-03		Dana Patel (S-01)
signed · version 1
View supplied demo artifact

DEMO NOTE 13 1

setting, intervention, response, goal, humanSemanticReviewed

Created 2026-10-03T16:00:00-04:00
Signed 2026-10-03T16:00:00-04:00

Open Note Review →
note
D-N-SHOW-13-2
2026-10-04		Dana Patel (S-01)
signed · version 1
View supplied demo artifact

DEMO NOTE 13 2

setting, intervention, response, goal, humanSemanticReviewed

Created 2026-10-04T16:00:00-04:00
Signed 2026-10-04T16:00:00-04:00

Open Note Review →

Diagnoses, medication and planned services

Fictional chart facts. Medication codes and doses are demonstration placeholders.

Diagnoses

CodeDocumentRecorded by
F10.20SHOW-13-ASSESSDr. Quinn Mercer (S-09)
F10.20SHOW-13-PLANDr. Quinn Mercer (S-09)

Medication reconciliation

MedicationDose · route · scheduleRecord
DEMO-MED-ADEMO-DOSE-A · demo-route
demo-schedule		SHOW-13-MEDS · active
DEMO-MED-ADEMO-DOSE-A · demo-route
demo-schedule		SHOW-13-PLAN · active

Planned services

ServiceFrequency · targetSource
DEMO3 sessions weekly
2026-10-26		SHOW-13-PLAN

Consent and coverage

RecordScopeStatus
CON-SHOW-13part2 · demo-payment
HUMANA		2026-09-26 through 2027-10-08
9 structured elements
CV-Owen Park (C-0013)HUMANA2026-01-01 through open ended
Verified demo coverage

Mailbox and team

Open messages →
Recorded activityStatus
Confirmation of receipt for Owen Park (C-0013).CH-028Cataloged receipt
Team update recorded; not posted for Owen Park (C-0013).CH-029Not posted

Executed checks and source gaps

28 passed · 1 failed · 88 skipped

Rule / subjectResultEvidence
NOTE-LATEN-SHOW-13-0skippedRule does not apply to this level
NOTE-UNSIGNEDN-SHOW-13-0skippedRule does not apply to this level
NOTE-NO-TIMEN-SHOW-13-0skippedRule does not apply to this level
NOTE-CLONEDN-SHOW-13-0skippedRule does not apply to this level
NOTE-COSIGNN-SHOW-13-0skippedRule does not apply to this level
NOTE-TIMESN-SHOW-13-0skippedRule does not apply to this level
GROUP-SIZEN-SHOW-13-0skippedRule does not apply to this level
NOTE-LATEN-SHOW-13-1skippedRule does not apply to this level
NOTE-UNSIGNEDN-SHOW-13-1skippedRule does not apply to this level
NOTE-NO-TIMEN-SHOW-13-1skippedRule does not apply to this level
NOTE-CLONEDN-SHOW-13-1skippedRule does not apply to this level
NOTE-COSIGNN-SHOW-13-1skippedRule does not apply to this level
NOTE-TIMESN-SHOW-13-1skippedRule does not apply to this level
GROUP-SIZEN-SHOW-13-1skippedRule does not apply to this level
NOTE-LATEN-SHOW-13-2skippedRule does not apply to this level
NOTE-UNSIGNEDN-SHOW-13-2skippedRule does not apply to this level
NOTE-NO-TIMEN-SHOW-13-2skippedRule does not apply to this level
NOTE-CLONEDN-SHOW-13-2skippedRule does not apply to this level
NOTE-COSIGNN-SHOW-13-2skippedRule does not apply to this level
NOTE-TIMESN-SHOW-13-2skippedRule does not apply to this level
GROUP-SIZEN-SHOW-13-2skippedRule does not apply to this level
DAY-HOURSE-13:2026-10-02skippedRule does not apply to this level
DAY-HOURSE-13:2026-10-03skippedRule does not apply to this level
DAY-HOURSE-13:2026-10-04skippedRule does not apply to this level
WEEK-HOURSE-13:2026-09-27skippedRule does not apply to this level
SERVICE-NO-AUTHE-13:gappassRequired inputs checked
SERVICE-NO-AUTHE-13:pendingpassRequired inputs checked
PLAN-ELEMENTSP-SHOW-13skippedRule does not apply to this level
ASSESS-DIMENSIONSAS-SHOW-13skippedRule does not apply to this level
ASSESS-MISSINGE-13skippedRule does not apply to this level
TIME-ISP-INITIALE-13:ISP-INITIALfailClock overdue; Within 24 hours of admission, covering immediate service, health and safety needs.
TIME-AUTH-REQUESTE-13:AUTH-REQUESTpassClock met; DMAS-recommended initial filing within 1 business day of service initiation. FFS follows these recommendations; MCO deadlines require the signed payer contract (M-002).
TIME-AUTH-DECISIONE-13:AUTH-DECISIONpassClock met; 72 hours from submission for ARTS service authorization requests (A-010, A-060). Receipt is not the anchor.
TIME-ISP-COMPREHENSIVEE-13:ISP-COMPREHENSIVEpassClock met; Within 30 calendar days of starting services, required even if the person is discharged earlier.
TIME-ASSESS-FRESHE-13:ASSESS-FRESHpassClock met; If services start later than 30 days after the assessment is completed, the assessment has to be redone.
TIME-ISP-REVIEWE-13:ISP-REVIEWpassClock upcoming; At least every 30 calendar days at 3.7, and whenever needs change. A plan not updated on time is "outdated".
TIME-EXT-REQUESTE-13:EXT-REQUEST:AU-DEMO-13passClock upcoming; DMAS-recommended window: before authorization ends and no more than 5 calendar days before its end. FFS follows these recommendations; MCO timing requires the signed payer contract (M-002).
TIME-DMAS-PROVIDER-APPEAL-30E-13:DMAS-PROVIDER-APPEAL-30:D-SHOW-13skippedPrimary applicable source unavailable: A-029
TIME-MEMBER-APPEAL-60E-13:MEMBER-APPEAL-60:D-SHOW-13passClock upcoming; 60 calendar days from the date on the notice. A provider needs the member’s written consent and cannot request continued benefits.
CONS-DEMO-NAMEE-13skippedTwo comparable identity sources are required
CONS-DEMO-DOBE-13skippedTwo comparable identity sources are required
CONS-DEMO-ADDRESSE-13skippedTwo comparable identity sources are required
CONS-DEMO-PHONEE-13skippedTwo comparable identity sources are required
CONS-DEMO-SSNE-13skippedTwo comparable identity sources are required
CONS-DEMO-GENDERE-13skippedTwo comparable identity sources are required
CONS-DEMO-MEDICAIDE-13skippedTwo comparable identity sources are required
CONS-DXE-13passRequired inputs checked
CONS-MEDSE-13passRequired inputs checked
CONS-LOCE-13skippedRule does not apply to this level
CONS-PAYERE-13skippedNo claim payer comparison available
CONS-DATESE-13passRequired inputs checked
COMP-SIGNEDSHOW-13-FACEpassRequired inputs checked
COMP-ISP-CLIENT-SIGSHOW-13-PLANpassRequired inputs checked
COMP-INFORMED-CHOICESHOW-13-PLANpassRequired inputs checked
COMP-DISCHARGE-PLANSHOW-13-PLANskippedRule does not apply to this level
COMP-SIGNEDSHOW-13-PLANpassRequired inputs checked
COMP-ASSESS-PROFILESHOW-13-ASSESSskippedRule does not apply to this level
COMP-ASSESS-ELEMENTSSHOW-13-ASSESSpassRequired inputs checked
COMP-SIGNEDSHOW-13-ASSESSpassRequired inputs checked
COMP-SIGNEDSHOW-13-MEDSpassRequired inputs checked
COMP-SIGNEDSHOW-13-CONSENTpassRequired inputs checked
COMP-SIGNEDSHOW-13-AUTHpassRequired inputs checked
COMP-NOTE-FIELDSD-N-SHOW-13-0skippedRule does not apply to this level
COMP-SIGNEDD-N-SHOW-13-0passRequired inputs checked
COMP-NOTE-FIELDSD-N-SHOW-13-1skippedRule does not apply to this level
COMP-SIGNEDD-N-SHOW-13-1passRequired inputs checked
COMP-NOTE-FIELDSD-N-SHOW-13-2skippedRule does not apply to this level
COMP-SIGNEDD-N-SHOW-13-2passRequired inputs checked
COMP-MOUDE-13skippedRule does not apply to this level
PEOPLE-CRED-SCOPESHOW-13-PLANskippedRule does not apply to this level
PEOPLE-CRED-SCOPESHOW-13-ASSESSskippedRule does not apply to this level
ASAM-DX-BY-LICENSEDDX-A-13skippedRule does not apply to this level
ASAM-DX-BY-LICENSEDDX-P-13skippedRule does not apply to this level
CLAR-ISP-FREQ-MISSINGPS-13passRequired inputs checked
CLAR-ISP-FREQ-AMBIGPS-13passRequired inputs checked
CLAR-PLAN-VS-DELIVERYPS-13skippedPrimary applicable source unavailable: A-026
CLAR-GOALS-MEASURABLEE-13skippedRule does not apply to this level
CLAR-NOTE-GOAL-LINKE-13skippedRule does not apply to this level
CLAR-NOTE-TIME-SUPPORTE-13skippedRule does not apply to this level
CLAR-CONTRADICTIONE-13skippedRule does not apply to this level
ASAM-CONTINUED-STAYE-13skippedRule does not apply to this level
COMP-PART2-CONSENTCON-SHOW-13passRequired inputs checked
COMP-PART2-DISCLOSURECON-SHOW-13passRequired inputs checked
COMP-CRIMINAL-JUSTICE-CONSENTCON-SHOW-13skippedNot a criminal justice referral
REV-ATTEND-NO-NOTESES-SHOW-13-0skippedRule does not apply to this level
REV-ATTEND-NO-NOTESES-SHOW-13-1skippedRule does not apply to this level
REV-ATTEND-NO-NOTESES-SHOW-13-2skippedRule does not apply to this level
REV-NOTE-RETURNED-OPENN-SHOW-13-0skippedRule does not apply to this level
REV-APPROVAL-LAGN-SHOW-13-0skippedRule does not apply to this level
REV-LATE-ENTRY-HOLDN-SHOW-13-0skippedRule does not apply to this level
REV-APPROVED-NO-CLAIMN-SHOW-13-0skippedRule does not apply to this level
REV-TIMELY-FILINGN-SHOW-13-0skippedRule does not apply to this level
REV-SERVICE-UNBILLEDN-SHOW-13-0skippedRule does not apply to this level
FLOW-UNREVIEWEDN-SHOW-13-0skippedRule does not apply to this level
FLOW-MISMATCHN-SHOW-13-0skippedRule does not apply to this level
REV-NOTE-RETURNED-OPENN-SHOW-13-1skippedRule does not apply to this level
REV-APPROVAL-LAGN-SHOW-13-1skippedRule does not apply to this level
REV-LATE-ENTRY-HOLDN-SHOW-13-1skippedRule does not apply to this level
REV-APPROVED-NO-CLAIMN-SHOW-13-1skippedRule does not apply to this level
REV-TIMELY-FILINGN-SHOW-13-1skippedRule does not apply to this level
REV-SERVICE-UNBILLEDN-SHOW-13-1skippedRule does not apply to this level
FLOW-UNREVIEWEDN-SHOW-13-1skippedRule does not apply to this level
FLOW-MISMATCHN-SHOW-13-1skippedRule does not apply to this level
REV-NOTE-RETURNED-OPENN-SHOW-13-2skippedRule does not apply to this level
REV-APPROVAL-LAGN-SHOW-13-2skippedRule does not apply to this level
REV-LATE-ENTRY-HOLDN-SHOW-13-2skippedRule does not apply to this level
REV-APPROVED-NO-CLAIMN-SHOW-13-2skippedRule does not apply to this level
REV-TIMELY-FILINGN-SHOW-13-2skippedRule does not apply to this level
REV-SERVICE-UNBILLEDN-SHOW-13-2skippedRule does not apply to this level
FLOW-UNREVIEWEDN-SHOW-13-2skippedRule does not apply to this level
FLOW-MISMATCHN-SHOW-13-2skippedRule does not apply to this level
REV-UNITS-OVER-AUTHAU-DEMO-13skippedRule does not apply to this level
REV-UNITS-BURNAU-DEMO-13skippedRule does not apply to this level
REV-CLAIM-NO-NOTEE-13skippedRule does not apply to this level
REV-DENIAL-UNWORKEDE-13skippedRule does not apply to this level
REV-PAYER-CREDENTIALE-13skippedRule does not apply to this level
REV-COVERAGE-CHANGEE-13skippedRule does not apply to this level