Le scénario
A hospital referral coordinator needs to track outgoing referrals to specialists and prior authorization requests submitted to payers.
Ce que contient ce dessin
Comprenez les décisions qui le sous-tendent.
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.