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database design · healthcare · referral management

Healthcare Provider Referral Management ERD with Prior Authorization

النوع ERDالمعيار Chen 1976 / Everest 1976 (crow's foot)المحرّك schematex-erdآخر تحديث 21‏/8‏/2026
Healthcare Provider Referral Management ERD with Prior Authorization
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السيناريو

A hospital referral coordinator needs to track outgoing referrals to specialists and prior authorization requests submitted to payers.

ما الذي يتضمنه هذا الرسم

اقرأ القرارات الكامنة وراءه.

01

Modeled Provider, Patient, Insurance, and Specialty as independent entities

02

Linked Referral to Patient, referring Provider, and Specialty; PriorAuthorization links Referral and Insurance

03

Used many-to-one mandatory references for all foreign keys

Reusable for ambulatory referral workflows, specialty care coordination, or payer authorization tracking.

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