Measurement plan—not performance claims
Define success before the pilot starts
Establish the baseline, source system, owner, and review period for each measure. Results depend on payer mix, workflow scope, data quality, staffing, and the automation modes your team approves.
- 01Before serviceAccess readiness
- Was coverage checked and required benefit or authorization work completed, assigned, or escalated before the service date?
- 02In the work queueAuthorization flow
- Which requests are waiting on evidence, payer response, staff action, peer review, appeal, or renewal?
- 03After submissionClaim outcome
- Which claims were acknowledged, rejected, denied, or paid—and which rule or payer reason drove the next action?
- 04During rolloutHuman effort
- Where does work wait for attestation, clarification, approval, portal follow-up, or EHR conflict resolution?
QuickIntell does not guarantee authorization, reimbursement, claim acceptance, coding accuracy, or a specific financial result. Use your own validated baseline and approved reporting definitions when evaluating impact.