Smart Decisioning
Intelligent coverage requirements discovery and documentation automation. Bring real-time payer rules and clinical decision support directly to the point of care.
Decisions at the Point of Care
Smart Decisioning combines the Da Vinci CRD and DTR implementation guides into a single, EHR-native workflow. The moment a provider orders a service, our CDS Hooks engine evaluates payer coverage rules and surfaces exactly what documentation is required — no phone calls, no portals, no guesswork.
- Coverage Requirements Discovery (CRD) via real-time CDS Hooks
- Documentation Templates and Rules (DTR) with SMART on FHIR forms
- Auto-population of questionnaires from EHR clinical data
- Configurable rules engine — add or edit procedure rules from the portal
- Instant “prior auth required / not required” determination
- Seamless hand-off into the PAS submission workflow
How It Works
Order Triggered
A provider places an order in the EHR. A CDS Hook fires to the CRD service in real time.
Rules Evaluated
The engine checks payer coverage rules and returns whether prior auth and documentation are required.
Documentation Completed
A SMART on FHIR DTR form launches, auto-fills from the chart, and hands off to PAS-Connect.
See Smart Decisioning in Action
Watch CRD and DTR work together to eliminate prior auth guesswork.
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