YINSEN | Prior Authorization Decision Support

Case Input

Patient Information

Age

Sex

BMI

Diagnosis

Primary ICD-10

Primary Diagnosis

Procedure Requested

CPT Code

Procedure Description

Urgency

Clinical History

Clinical History / Chief Complaint

Imaging Findings

MRI Findings

X-Ray Findings (if applicable)

Physical Examination

Neurological Exam

Prior Treatments

Treatment

Duration

Outcome

Requesting Provider

Physician Name

Specialty

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Decision Report

Criteria Evaluation

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