Aisha Cole (C-0007)
2.5 · DMAS · 2026-09-23 admission
Episode clocks
| Clock | Due | Result / evidence |
|---|---|---|
| TIME-ISP-INITIAL Initial treatment plan (initial ISP) | Exact anchor unavailable | skipped DMAS Clock needs an exact source timestamp or anchor |
| TIME-AUTH-REQUEST Initial approval request sent to the plan | 2026-09-24 | fail DMAS Verified payer profile |
| TIME-ISP-COMPREHENSIVE Comprehensive treatment plan (comprehensive ISP) | 2026-10-23 | pass DMAS Clock met; Within 30 calendar days of starting services, required even if the person is discharged earlier. |
| TIME-ISP-REVIEW Next treatment plan review | 2026-10-23 | pass DMAS Clock upcoming; At least every 30 calendar days at ASAM 2.5, and whenever needs change. A plan not updated on time is "outdated". |
| TIME-MEMBER-APPEAL-60 Member's appeal to the health plan (provider files only with the member's written consent) | 2026-12-05 | pass DMAS Clock upcoming; 60 calendar days from the date on the notice. A provider needs the member’s written consent and cannot request continued benefits. |
Findings 4
| Finding / record | Priority · payer | Owner · due | Evidence / state |
|---|---|---|---|
| ASSESS-MISSING Aisha Cole (C-0007) · E-7 ASSESS-MISSING | important DMAS | clinical-director · Harper Brooks (S-05) 2026-10-14 | open A-021, A-048 Condition requires review Review action |
| TIME-AUTH-REQUEST Aisha Cole (C-0007) · E-7:AUTH-REQUEST Initial approval request sent to the plan | urgent DMAS | ur · Cameron Lee (S-11) 2026-09-24 | open A-011 Verified payer profile Review action |
| CLAR-PLAN-VS-DELIVERY Aisha Cole (C-0007) · PS-7 Delivery compared with complete planned period | important DMAS | clinical-director · Harper Brooks (S-05) 2026-10-14 | open A-026 Condition requires review Review action |
| COMP-PART2-CONSENT Aisha Cole (C-0007) · CON-SHOW-7 Part 2 consent elements | important DMAS | intake · Jamie Ross (S-08) 2026-10-14 | open F-019 Condition requires review Review action |
Units ledger
| Authorization · payer | Units authorized | Delivered / approved / billed | Remaining · end |
|---|
No items in this view.
Mindful Note Review
| Note | Readiness | Review state |
|---|
No items in this view.
Mailbox and team
| Line | Status |
|---|---|
| CH-013 · Confirmation of receipt for Aisha Cole (C-0007). | Cataloged receipt |
| CH-014 · Question requires follow-up for Aisha Cole (C-0007). | Open clarification / follow-up |
| CH-015 · Team update recorded; not posted for Aisha Cole (C-0007). | Not posted |
Documents in this record
Supplied demo artifacts. Open a document to inspect its type, version and structured evidence.
| Document · date | Author · status | Evidence |
|---|---|---|
| demographics SHOW-7-FACE 2026-09-23 | Jamie Ross (S-08) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-7 FACE No structured element list Created 2026-09-23T16:00:00-04:00 |
| plan SHOW-7-PLAN 2026-09-23 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-7 PLAN needs, goals, services, agencies, discharge, family, aftercare, pharmacotherapy, choice, signature, levelOfCare Created 2026-09-23T16:00:00-04:00 |
| medication-list SHOW-7-MEDS 2026-09-23 | Dr. Quinn Mercer (S-09) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-7 MEDS No structured element list Created 2026-09-23T16:00:00-04:00 |
| consent SHOW-7-CONSENT 2026-09-23 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-7 CONSENT signature, signedDate Created 2026-09-23T16:00:00-04:00 |
| authorization SHOW-7-AUTH 2026-09-23 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-7 AUTH No structured element list Created 2026-09-23T16:00:00-04:00 |
Diagnoses, medication and planned services
Fictional chart facts. Medication codes and doses are demonstration placeholders.
Diagnoses
| Code | Document | Recorded by |
|---|---|---|
| F10.20 | SHOW-7-PLAN | Dr. Quinn Mercer (S-09) |
Medication reconciliation
| Medication | Dose · route · schedule | Record |
|---|---|---|
| DEMO-MED-A | DEMO-DOSE-A · demo-route demo-schedule | SHOW-7-MEDS · active |
| DEMO-MED-A | DEMO-DOSE-A · demo-route demo-schedule | SHOW-7-PLAN · active |
Planned services
| Service | Frequency · target | Source |
|---|---|---|
| S0201 | 3 sessions weekly 2026-10-23 | SHOW-7-PLAN |
Consent and coverage
| Record | Scope | Status |
|---|---|---|
| CON-SHOW-7 | part2 · demo-payment DMAS | 2026-09-23 through 2027-10-08 8 structured elements |
| CV-Aisha Cole (C-0007) | DMAS | 2026-07-26 through open ended Verified demo coverage |
Claims and remittances
| Claim · service | Units · payer | Status · related note |
|---|
No claim has been supplied for this client. An approved note awaiting a claim appears in the audit findings when its billing deadline passes.
Remittances and denial follow-up
| Claim | Decision · date | Follow-up |
|---|
Executed checks and source gaps
20 passed · 4 failed · 30 skipped
| Rule / subject | Result | Evidence |
|---|---|---|
| ASSESS-MISSING E-7 | fail | Condition requires review |
| PLAN-ELEMENTS P-SHOW-7 | pass | Required inputs checked |
| TIME-ISP-INITIAL E-7:ISP-INITIAL | skipped | Clock needs an exact source timestamp or anchor |
| TIME-AUTH-REQUEST E-7:AUTH-REQUEST | fail | Verified payer profile |
| TIME-ISP-COMPREHENSIVE E-7:ISP-COMPREHENSIVE | pass | Clock met; Within 30 calendar days of starting services, required even if the person is discharged earlier. |
| TIME-ISP-REVIEW E-7:ISP-REVIEW | pass | Clock upcoming; At least every 30 calendar days at ASAM 2.5, and whenever needs change. A plan not updated on time is "outdated". |
| TIME-MEMBER-APPEAL-60 E-7:MEMBER-APPEAL-60:D-NOCON | pass | Clock upcoming; 60 calendar days from the date on the notice. A provider needs the member’s written consent and cannot request continued benefits. |
| CONS-DEMO-NAME E-7 | skipped | Two comparable identity sources are required |
| CONS-DEMO-DOB E-7 | skipped | Two comparable identity sources are required |
| CONS-DEMO-ADDRESS E-7 | skipped | Two comparable identity sources are required |
| CONS-DEMO-PHONE E-7 | skipped | Two comparable identity sources are required |
| CONS-DEMO-SSN E-7 | skipped | Two comparable identity sources are required |
| CONS-DEMO-GENDER E-7 | skipped | Two comparable identity sources are required |
| CONS-DEMO-MEDICAID E-7 | skipped | Two comparable identity sources are required |
| CONS-DX E-7 | skipped | Two comparable current documents required |
| CONS-MEDS E-7 | pass | Required inputs checked |
| CONS-LOC E-7 | pass | Required inputs checked |
| CONS-PAYER E-7 | skipped | No claim payer comparison available |
| CONS-DATES E-7 | skipped | No dated service documents |
| COMP-SIGNED SHOW-7-FACE | pass | Required inputs checked |
| COMP-ISP-CLIENT-SIG SHOW-7-PLAN | pass | Required inputs checked |
| COMP-INFORMED-CHOICE SHOW-7-PLAN | pass | Required inputs checked |
| COMP-DISCHARGE-PLAN SHOW-7-PLAN | pass | Required inputs checked |
| COMP-SIGNED SHOW-7-PLAN | pass | Required inputs checked |
| COMP-SIGNED SHOW-7-MEDS | pass | Required inputs checked |
| COMP-SIGNED SHOW-7-CONSENT | pass | Required inputs checked |
| COMP-SIGNED SHOW-7-AUTH | pass | Required inputs checked |
| COMP-MOUD E-7 | pass | Required inputs checked |
| PEOPLE-CRED-SCOPE SHOW-7-PLAN | pass | Required inputs checked |
| ASAM-DX-BY-LICENSED DX-P-7 | pass | Required inputs checked |
| CLAR-ISP-FREQ-MISSING PS-7 | pass | Required inputs checked |
| CLAR-ISP-FREQ-AMBIG PS-7 | pass | Required inputs checked |
| CLAR-PLAN-VS-DELIVERY PS-7 | fail | Condition requires review |
| CLAR-GOALS-MEASURABLE E-7 | skipped | No qualified text-reader assessment supplied; not a pass |
| CLAR-NOTE-GOAL-LINK E-7 | skipped | No qualified text-reader assessment supplied; not a pass |
| CLAR-NOTE-TIME-SUPPORT E-7 | skipped | No qualified text-reader assessment supplied; not a pass |
| CLAR-CONTRADICTION E-7 | skipped | No qualified text-reader assessment supplied; not a pass |
| ASAM-CONTINUED-STAY E-7 | skipped | No qualified text-reader assessment supplied; not a pass |
| COMP-PART2-CONSENT CON-SHOW-7 | fail | Condition requires review |
| COMP-PART2-DISCLOSURE CON-SHOW-7 | pass | Required inputs checked |
| COMP-CRIMINAL-JUSTICE-CONSENT CON-SHOW-7 | skipped | Not a criminal justice referral |
| REV-ATTEND-NO-NOTE E-7 | skipped | No input-bearing subject for this rule |
| REV-NOTE-RETURNED-OPEN E-7 | skipped | No input-bearing subject for this rule |
| REV-APPROVAL-LAG E-7 | skipped | No input-bearing subject for this rule |
| REV-APPROVED-NO-CLAIM E-7 | skipped | No input-bearing subject for this rule |
| REV-CLAIM-NO-NOTE E-7 | skipped | No input-bearing subject for this rule |
| REV-LATE-ENTRY-HOLD E-7 | skipped | No input-bearing subject for this rule |
| REV-UNITS-OVER-AUTH E-7 | skipped | No input-bearing subject for this rule |
| REV-UNITS-BURN E-7 | skipped | No input-bearing subject for this rule |
| REV-TIMELY-FILING E-7 | skipped | No input-bearing subject for this rule |
| REV-DENIAL-UNWORKED E-7 | skipped | No input-bearing subject for this rule |
| REV-PAYER-CREDENTIAL E-7 | skipped | No input-bearing subject for this rule |
| REV-COVERAGE-CHANGE E-7 | skipped | No input-bearing subject for this rule |
| REV-SERVICE-UNBILLED E-7 | skipped | No input-bearing subject for this rule |