Fictional demo · Cedar Harbor Recovery All people, records and activity are synthetic. Program & walkthrough →
Mindful Auditor · Synthetic local desk · 2026-10-08
Program & walkthroughOverviewWork by positionNote ReviewOutboxWeekly briefRun logSettingsImportConnectionsInboxTeamLevels
Lena Ortiz (C-0010)
MH-IOP · SENTARA · 2026-09-26 admission
Episode clocks
| Clock | Due | Result / evidence |
|---|---|---|
| TIME-ISP-INITIAL Initial treatment plan (initial ISP) | 2026-09-27 | fail SENTARA Clock overdue; Within 24 hours of admission, covering immediate service, health and safety needs. |
| TIME-AUTH-REQUEST Initial approval request sent to the plan | 2026-09-28 | pass SENTARA Clock met; Initial requests within 1 business day of admission; a late request starts on the date of receipt. |
| TIME-PSYCH-EVAL Psychiatric evaluation | 2026-09-29 | fail SENTARA Clock overdue; Within 72 hours of admission; one done in the prior 30 days counts if reviewed and updated at admission. |
| TIME-AUTH-DECISION Plan's decision due | 2026-09-29 | pass SENTARA Clock met; 7 calendar days for a standard request (72 hours if expedited), extendable up to 14 days. |
| TIME-ISP-COMPREHENSIVE Comprehensive treatment plan (comprehensive ISP) | 2026-10-26 | pass SENTARA Clock met; Within 30 calendar days of starting services, required even if the person is discharged earlier. |
| TIME-ISP-REVIEW Next treatment plan review | 2026-10-26 | pass SENTARA Clock upcoming; At least every 30 calendar days at MH-IOP, and whenever needs change. A plan not updated on time is "outdated". |
| TIME-DMAS-PROVIDER-APPEAL-30 Provider's informal appeal at DMAS | Exact anchor unavailable | skipped SENTARA Primary applicable source unavailable: A-029 |
| TIME-EXT-REQUEST Extension (continued-stay) request | 2026-11-03 | pass SENTARA Clock upcoming; File continued-stay requests by the actual requested start date. A late request begins on the date of receipt. |
| TIME-MEMBER-APPEAL-60 Member's appeal to the health plan (provider files only with the member's written consent) | 2026-11-30 | pass SENTARA Clock upcoming; 60 calendar days from the date on the notice. A provider needs the member’s written consent and cannot request continued benefits. |
| TIME-ASSESS-UPDATE-90 Updated assessment (continued medical necessity) | 2026-12-25 | pass SENTARA Clock upcoming; Every 90 days of consecutive service. |
Findings 3
| Finding / record | Priority · payer | Owner · due | Evidence / state |
|---|---|---|---|
| WEEK-HOURS Lena Ortiz (C-0010) · E-10:2026-09-27 WEEK-HOURS | watch SENTARA | clinical-director · Harper Brooks (S-05) 2026-10-15 | open A-035 Condition requires review Review action |
| TIME-ISP-INITIAL Lena Ortiz (C-0010) · E-10:ISP-INITIAL Initial treatment plan (initial ISP) | important SENTARA | ur · Cameron Lee (S-11) 2026-09-27 | open L-010 Clock overdue; Within 24 hours of admission, covering immediate service, health and safety needs. Review action |
| TIME-PSYCH-EVAL Lena Ortiz (C-0010) · E-10:PSYCH-EVAL Psychiatric evaluation | important SENTARA | ur · Cameron Lee (S-11) 2026-09-29 | open A-046 Clock overdue; Within 72 hours of admission; one done in the prior 30 days counts if reviewed and updated at admission. Review action |
Units ledger
| Authorization · payer | Units authorized | Delivered / approved / billed | Remaining · end |
|---|---|---|---|
| AU-DEMO-10 · SENTARA S9480 · day | 30 | 3 / 0 / 0 | 27 · 2026-11-02 |
Mindful Note Review
| Note | Readiness | Review state |
|---|---|---|
| N-SHOW-10-0 2026-10-02 | ready | not-reviewed |
| N-SHOW-10-1 2026-10-03 | ready | not-reviewed |
| N-SHOW-10-2 2026-10-04 | ready | not-reviewed |
Mailbox and team
| Line | Status |
|---|---|
| CH-021 · Confirmation of receipt for Lena Ortiz (C-0010). | Cataloged receipt |
| CH-022 · Team update recorded; not posted for Lena Ortiz (C-0010). | 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-10-FACE 2026-09-26 | Jamie Ross (S-08) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-10 FACE No structured element list Created 2026-09-26T16:00:00-04:00 |
| plan SHOW-10-PLAN 2026-09-26 | Madison Price (S-16) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-10 PLAN needs, goals, services, agencies, discharge, family, aftercare, pharmacotherapy, choice, signature, levelOfCare Created 2026-09-26T16:00:00-04:00 |
| assessment SHOW-10-ASSESS 2026-09-26 | Madison Price (S-16) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-10 ASSESS history, medical, psychiatric, substance, risk, strengths, riskRating, immediateNeeds Created 2026-09-26T16:00:00-04:00 |
| medication-list SHOW-10-MEDS 2026-09-26 | Dr. Quinn Mercer (S-09) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-10 MEDS No structured element list Created 2026-09-26T16:00:00-04:00 |
| consent SHOW-10-CONSENT 2026-09-26 | Madison Price (S-16) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-10 CONSENT signature, signedDate Created 2026-09-26T16:00:00-04:00 |
| authorization SHOW-10-AUTH 2026-09-26 | Madison Price (S-16) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-10 AUTH No structured element list Created 2026-09-26T16:00:00-04:00 |
| note D-N-SHOW-10-0 2026-10-02 | Madison Price (S-16) signed · version 1 | View supplied demo artifactDEMO NOTE 10 0 setting, intervention, response, goal, humanSemanticReviewed Created 2026-10-02T16:00:00-04:00 |
| note D-N-SHOW-10-1 2026-10-03 | Madison Price (S-16) signed · version 1 | View supplied demo artifactDEMO NOTE 10 1 setting, intervention, response, goal, humanSemanticReviewed Created 2026-10-03T16:00:00-04:00 |
| note D-N-SHOW-10-2 2026-10-04 | Madison Price (S-16) signed · version 1 | View supplied demo artifactDEMO NOTE 10 2 setting, intervention, response, goal, humanSemanticReviewed Created 2026-10-04T16:00:00-04:00 |
Diagnoses, medication and planned services
Fictional chart facts. Medication codes and doses are demonstration placeholders.
Diagnoses
| Code | Document | Recorded by |
|---|---|---|
| F41.1 | SHOW-10-ASSESS | Dr. Quinn Mercer (S-09) |
| F41.1 | SHOW-10-PLAN | Dr. Quinn Mercer (S-09) |
Medication reconciliation
| Medication | Dose · route · schedule | Record |
|---|---|---|
| DEMO-MED-A | DEMO-DOSE-A · demo-route demo-schedule | SHOW-10-MEDS · active |
| DEMO-MED-A | DEMO-DOSE-A · demo-route demo-schedule | SHOW-10-PLAN · active |
Planned services
| Service | Frequency · target | Source |
|---|---|---|
| S9480 | 3 sessions weekly 2026-10-26 | SHOW-10-PLAN |
Consent and coverage
| Record | Scope | Status |
|---|---|---|
| CON-SHOW-10 | part2 · demo-payment SENTARA | 2026-09-26 through 2027-10-08 9 structured elements |
| CV-Lena Ortiz (C-0010) | SENTARA | 2026-01-01 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
46 passed · 3 failed · 67 skipped
| Rule / subject | Result | Evidence |
|---|---|---|
| NOTE-LATE N-SHOW-10-0 | pass | Required inputs checked |
| NOTE-UNSIGNED N-SHOW-10-0 | pass | Required inputs checked |
| NOTE-NO-TIME N-SHOW-10-0 | pass | Required inputs checked |
| NOTE-CLONED N-SHOW-10-0 | pass | Required inputs checked |
| NOTE-COSIGN N-SHOW-10-0 | skipped | SUD co-sign rule does not apply to mental health |
| NOTE-TIMES N-SHOW-10-0 | pass | Required inputs checked |
| GROUP-SIZE N-SHOW-10-0 | skipped | Group size not supplied or not a group note |
| NOTE-LATE N-SHOW-10-1 | pass | Required inputs checked |
| NOTE-UNSIGNED N-SHOW-10-1 | pass | Required inputs checked |
| NOTE-NO-TIME N-SHOW-10-1 | pass | Required inputs checked |
| NOTE-CLONED N-SHOW-10-1 | pass | Required inputs checked |
| NOTE-COSIGN N-SHOW-10-1 | skipped | SUD co-sign rule does not apply to mental health |
| NOTE-TIMES N-SHOW-10-1 | pass | Required inputs checked |
| GROUP-SIZE N-SHOW-10-1 | skipped | Group size not supplied or not a group note |
| NOTE-LATE N-SHOW-10-2 | pass | Required inputs checked |
| NOTE-UNSIGNED N-SHOW-10-2 | pass | Required inputs checked |
| NOTE-NO-TIME N-SHOW-10-2 | pass | Required inputs checked |
| NOTE-CLONED N-SHOW-10-2 | pass | Required inputs checked |
| NOTE-COSIGN N-SHOW-10-2 | skipped | SUD co-sign rule does not apply to mental health |
| NOTE-TIMES N-SHOW-10-2 | pass | Required inputs checked |
| GROUP-SIZE N-SHOW-10-2 | skipped | Group size not supplied or not a group note |
| WEEK-HOURS E-10:2026-09-27 | fail | Condition requires review |
| DAY-HOURS E-10:2026-10-02 | pass | Required inputs checked |
| DAY-HOURS E-10:2026-10-03 | pass | Required inputs checked |
| DAY-HOURS E-10:2026-10-04 | pass | Required inputs checked |
| SERVICE-NO-AUTH E-10:gap | pass | Required inputs checked |
| SERVICE-NO-AUTH E-10:pending | pass | Required inputs checked |
| PLAN-ELEMENTS P-SHOW-10 | skipped | Rule does not apply to this level |
| ASSESS-MISSING E-10 | skipped | Rule does not apply to this level |
| TIME-ISP-INITIAL E-10:ISP-INITIAL | fail | Clock overdue; Within 24 hours of admission, covering immediate service, health and safety needs. |
| TIME-AUTH-REQUEST E-10:AUTH-REQUEST | pass | Clock met; Initial requests within 1 business day of admission; a late request starts on the date of receipt. |
| TIME-PSYCH-EVAL E-10:PSYCH-EVAL | fail | Clock overdue; Within 72 hours of admission; one done in the prior 30 days counts if reviewed and updated at admission. |
| TIME-AUTH-DECISION E-10:AUTH-DECISION | pass | Clock met; 7 calendar days for a standard request (72 hours if expedited), extendable up to 14 days. |
| TIME-ISP-COMPREHENSIVE E-10:ISP-COMPREHENSIVE | pass | Clock met; Within 30 calendar days of starting services, required even if the person is discharged earlier. |
| TIME-ISP-REVIEW E-10:ISP-REVIEW | pass | Clock upcoming; At least every 30 calendar days at MH-IOP, and whenever needs change. A plan not updated on time is "outdated". |
| TIME-DMAS-PROVIDER-APPEAL-30 E-10:DMAS-PROVIDER-APPEAL-30:D-SHOW-10 | skipped | Primary applicable source unavailable: A-029 |
| TIME-EXT-REQUEST E-10:EXT-REQUEST:AU-DEMO-10 | pass | Clock upcoming; File continued-stay requests by the actual requested start date. A late request begins on the date of receipt. |
| TIME-MEMBER-APPEAL-60 E-10:MEMBER-APPEAL-60:D-SHOW-10 | 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. |
| TIME-ASSESS-UPDATE-90 E-10:ASSESS-UPDATE-90 | pass | Clock upcoming; Every 90 days of consecutive service. |
| CONS-DEMO-NAME E-10 | skipped | Two comparable identity sources are required |
| CONS-DEMO-DOB E-10 | skipped | Two comparable identity sources are required |
| CONS-DEMO-ADDRESS E-10 | skipped | Two comparable identity sources are required |
| CONS-DEMO-PHONE E-10 | skipped | Two comparable identity sources are required |
| CONS-DEMO-SSN E-10 | skipped | Two comparable identity sources are required |
| CONS-DEMO-GENDER E-10 | skipped | Two comparable identity sources are required |
| CONS-DEMO-MEDICAID E-10 | skipped | Two comparable identity sources are required |
| CONS-DX E-10 | skipped | Primary applicable source unavailable: A-050 |
| CONS-MEDS E-10 | pass | Required inputs checked |
| CONS-LOC E-10 | skipped | Rule does not apply to this level |
| CONS-PAYER E-10 | skipped | No claim payer comparison available |
| CONS-DATES E-10 | pass | Required inputs checked |
| COMP-SIGNED SHOW-10-FACE | pass | Required inputs checked |
| COMP-ISP-CLIENT-SIG SHOW-10-PLAN | pass | Required inputs checked |
| COMP-INFORMED-CHOICE SHOW-10-PLAN | pass | Required inputs checked |
| COMP-DISCHARGE-PLAN SHOW-10-PLAN | skipped | Rule does not apply to this level |
| COMP-SIGNED SHOW-10-PLAN | pass | Required inputs checked |
| COMP-ASSESS-ELEMENTS SHOW-10-ASSESS | pass | Required inputs checked |
| COMP-SIGNED SHOW-10-ASSESS | pass | Required inputs checked |
| COMP-SIGNED SHOW-10-MEDS | pass | Required inputs checked |
| COMP-SIGNED SHOW-10-CONSENT | pass | Required inputs checked |
| COMP-SIGNED SHOW-10-AUTH | pass | Required inputs checked |
| COMP-NOTE-FIELDS D-N-SHOW-10-0 | pass | Required inputs checked |
| COMP-SIGNED D-N-SHOW-10-0 | pass | Required inputs checked |
| COMP-NOTE-FIELDS D-N-SHOW-10-1 | pass | Required inputs checked |
| COMP-SIGNED D-N-SHOW-10-1 | pass | Required inputs checked |
| COMP-NOTE-FIELDS D-N-SHOW-10-2 | pass | Required inputs checked |
| COMP-SIGNED D-N-SHOW-10-2 | pass | Required inputs checked |
| COMP-MOUD E-10 | skipped | Rule does not apply to this level |
| PEOPLE-CRED-SCOPE SHOW-10-PLAN | skipped | Rule does not apply to this level |
| PEOPLE-CRED-SCOPE SHOW-10-ASSESS | skipped | Rule does not apply to this level |
| ASAM-DX-BY-LICENSED DX-A-10 | skipped | Rule does not apply to this level |
| ASAM-DX-BY-LICENSED DX-P-10 | skipped | Rule does not apply to this level |
| CLAR-ISP-FREQ-MISSING PS-10 | pass | Required inputs checked |
| CLAR-ISP-FREQ-AMBIG PS-10 | pass | Required inputs checked |
| CLAR-PLAN-VS-DELIVERY PS-10 | skipped | Primary applicable source unavailable: A-026 |
| CLAR-GOALS-MEASURABLE E-10 | skipped | Rule does not apply to this level |
| CLAR-NOTE-GOAL-LINK E-10 | skipped | Rule does not apply to this level |
| CLAR-NOTE-TIME-SUPPORT E-10 | skipped | Rule does not apply to this level |
| CLAR-CONTRADICTION E-10 | skipped | Rule does not apply to this level |
| ASAM-CONTINUED-STAY E-10 | skipped | Rule does not apply to this level |
| COMP-PART2-CONSENT CON-SHOW-10 | skipped | Primary applicable source unavailable: F-019 |
| COMP-PART2-DISCLOSURE CON-SHOW-10 | skipped | Primary applicable source unavailable: F-020 |
| COMP-CRIMINAL-JUSTICE-CONSENT CON-SHOW-10 | skipped | Primary applicable source unavailable: F-021 |
| REV-ATTEND-NO-NOTE SES-SHOW-10-0 | skipped | Rule does not apply to this level |
| REV-ATTEND-NO-NOTE SES-SHOW-10-1 | skipped | Rule does not apply to this level |
| REV-ATTEND-NO-NOTE SES-SHOW-10-2 | skipped | Rule does not apply to this level |
| REV-NOTE-RETURNED-OPEN N-SHOW-10-0 | skipped | Rule does not apply to this level |
| REV-APPROVAL-LAG N-SHOW-10-0 | skipped | Rule does not apply to this level |
| REV-LATE-ENTRY-HOLD N-SHOW-10-0 | skipped | Rule does not apply to this level |
| REV-APPROVED-NO-CLAIM N-SHOW-10-0 | skipped | Rule does not apply to this level |
| REV-TIMELY-FILING N-SHOW-10-0 | skipped | Rule does not apply to this level |
| REV-SERVICE-UNBILLED N-SHOW-10-0 | skipped | Rule does not apply to this level |
| FLOW-UNREVIEWED N-SHOW-10-0 | skipped | Rule does not apply to this level |
| FLOW-MISMATCH N-SHOW-10-0 | skipped | Rule does not apply to this level |
| REV-NOTE-RETURNED-OPEN N-SHOW-10-1 | skipped | Rule does not apply to this level |
| REV-APPROVAL-LAG N-SHOW-10-1 | skipped | Rule does not apply to this level |
| REV-LATE-ENTRY-HOLD N-SHOW-10-1 | skipped | Rule does not apply to this level |
| REV-APPROVED-NO-CLAIM N-SHOW-10-1 | skipped | Rule does not apply to this level |
| REV-TIMELY-FILING N-SHOW-10-1 | skipped | Rule does not apply to this level |
| REV-SERVICE-UNBILLED N-SHOW-10-1 | skipped | Rule does not apply to this level |
| FLOW-UNREVIEWED N-SHOW-10-1 | skipped | Rule does not apply to this level |
| FLOW-MISMATCH N-SHOW-10-1 | skipped | Rule does not apply to this level |
| REV-NOTE-RETURNED-OPEN N-SHOW-10-2 | skipped | Rule does not apply to this level |
| REV-APPROVAL-LAG N-SHOW-10-2 | skipped | Rule does not apply to this level |
| REV-LATE-ENTRY-HOLD N-SHOW-10-2 | skipped | Rule does not apply to this level |
| REV-APPROVED-NO-CLAIM N-SHOW-10-2 | skipped | Rule does not apply to this level |
| REV-TIMELY-FILING N-SHOW-10-2 | skipped | Rule does not apply to this level |
| REV-SERVICE-UNBILLED N-SHOW-10-2 | skipped | Rule does not apply to this level |
| FLOW-UNREVIEWED N-SHOW-10-2 | skipped | Rule does not apply to this level |
| FLOW-MISMATCH N-SHOW-10-2 | skipped | Rule does not apply to this level |
| REV-UNITS-OVER-AUTH AU-DEMO-10 | skipped | Rule does not apply to this level |
| REV-UNITS-BURN AU-DEMO-10 | skipped | Rule does not apply to this level |
| REV-CLAIM-NO-NOTE E-10 | skipped | Rule does not apply to this level |
| REV-DENIAL-UNWORKED E-10 | skipped | Rule does not apply to this level |
| REV-PAYER-CREDENTIAL E-10 | skipped | Rule does not apply to this level |
| REV-COVERAGE-CHANGE E-10 | skipped | Rule does not apply to this level |