Worklist
All active prior-auth cases across payers, sorted by SLA pressure.
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4 active·5 approved today·1 pending P2P·0 over SLA10 of 10 shown
| Case | Patient | Service | Status | Stage | Criteria | SLA | Updated | |
|---|---|---|---|---|---|---|---|---|
| AUT-2026-00187 | Min-Jee Park▸ MRN-008814 | MRI Lumbar Spine without contrast 72148 · M54.50 · Anthem | Auto-approved | Complete | 5/5 | — | 23 min ago | |
| AUT-2026-00188 | Roberto Mendoza▸ MRN-009447 | Stress Echocardiogram with imaging 93351 · R07.9 · UHC | In review | UM nurse | 4/5 | 2.0d | 2h ago | |
| AUT-2026-00189 | Margaret Reilly▸ MRN-010221 | Pembrolizumab 200mg IV q3w — Cycle 7 (continuation) 96413 · C34.91 · Aetna | Approved | Complete | 5/5 | — | 20h ago | |
| AUT-2026-00190 | James Thompson▸ MRN-011009 | L4-L5 TLIF (transforaminal lumbar interbody fusion) 22633 · M43.16 · Cigna | P2P scheduled | P2P | 6/7 | 4.0d | 8h ago | |
| AUT-2026-00191 | Tia Jefferson▸ MRN-011477 | PET/CT skull base to mid-thigh — staging 78815 · C50.911 · BCBS IL | Appeal in flight | Appeal | 4/5 | 20h | 4h ago | |
| AUT-2026-00192 | Ellen Schultz▸ MRN-012331 | Tirzepatide (Zepbound) 5mg weekly — initial 6 month — · E66.01 · Aetna | Denied | Complete | 2/5 | 4.0d | 20h ago | |
| AUT-2026-00193 | Emeka Okafor▸ MRN-013002 | Transcranial Magnetic Stimulation — 36-session course 90867 · F33.2 · UHC | Approved | Complete | 5/5 | — | 12h ago | |
| AUT-2026-00194 | Walter Hartman▸ MRN-013884 | Dexcom G7 CGM + supplies (90-day) — · E11.65 · Humana | In review | Auto-eval | 3/4 | 3.0d | 30 min ago | |
| AUT-2026-00195 | Aiko Ito▸ MRN-014557 | Cardiac MRI with stress perfusion 75561 · I25.10 · Anthem | Appeal overturned | Complete | 5/5 | — | 2h ago | |
| AUT-2026-00196 | Conor Brennan▸ MRN-015220 | CT Colonography (Virtual Colonoscopy) — high-risk screening 74263 · Z80.0 · Cigna | Auto-approved | Complete | 5/5 | — | 3h ago |