Workflows
Oversight
24 decisions · 23 governed
3
AP
My view
All Health Plan
Assigned to you · org oversight in Governance
Active (4)
Completed (11)
Templates
New Workflow
Status: All
Type: All
Priority: All
Date range: Next 14 days
In Progress
Utilization Review — Cardiac Rehabilitation Program
Utilization Review
Quarterly
Started 8 Aug, 08:00 · Schedule + threshold alert
Step 3 of 5 · Variance driver analysis — your review required
AP
Dr. Aisha Patel
2 of 3 checkpoints
Open →
Urgent — Not Started
Clinical Review — Member M-6614, CAR-T Therapy
Clinical Review
Urgent
Referred by claims reviewer 8 Aug · $475K est.
Awaiting your initiation
AP
Dr. Aisha Patel
—
Open →
Not Started
Clinical Policy Assessment — GLP-1 Coverage Criteria
Policy
Medium
Due 16 Aug 2026 · AMA guideline update
Queued
AP
Dr. Aisha Patel
—
Open →
Not Started
Provider Outlier Review — Valley Heart Associates
Utilization
Medium
Quarterly · Referral pattern +2.1σ
Queued
AP
Dr. Aisha Patel
—
Open →