OM03 Authorize Treatment Manual processes are Business Results Condition Improve automation in the Plan used by the treatment plan approval process Commonwealth for authorization of treatment plans needing preapproval or post approval (for audit purposes) OM03 Authorize Treatment Authorization of the Interoperability Condition Support interoperability with Plan treatment plan is other systems in the exchange of communicated to the treatment plan data appropriate health care agency and participants OM04 Apply Claim Manual processes are Business Results Condition Improve automation in the Attachment used by the attachment process to improve Commonwealth in efficiency order to associate an attachment with a prior claim OM04 Apply Claim Manual matches and Modularity Standard Implement a separate Rules Attachment reviews result in Engine to automate processes to inconsistency and evaluate attachment errors. OM04 Apply Claim Adoption of standards Industry Standard Condition Implement industry standards for Attachment and protocols based attachments upon legislation
OM03 Authorize Treatment Plan Manual processes are used by the Commonwealth for authorization of treatment plans needing preapproval or post approval (for audit purposes) Business Results Condition Improve automation in the treatment plan approval process OM03 Authorize Treatment Plan Authorization of the treatment plan is communicated to the appropriate health care agency and participants Interoperability Condition Support interoperability with other systems in the exchange of treatment plan data OM04 Apply Claim Attachment Manual processes are used by the Commonwealth in order to associate an attachment with a prior claim Business Results Condition Improve automation in the attachment process to improve efficiency OM04 Apply Claim Attachment Manual matches and reviews result in inconsistency and errors. Modularity Standard Implement a separate Rules Engine to automate processes to evaluate attachment OM04 Apply Claim Attachment Adoption of standards and protocols based upon legislation Industry Standard Condition Implement industry standards for attachments