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
Miles Carter (C-0011)
3.3 · AETNA · 2026-09-26 admission
Episode clocks
| Clock | Due | Result / evidence |
|---|---|---|
| TIME-ISP-INITIAL Initial treatment plan (initial ISP) | 2026-09-27 | fail AETNA 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 AETNA Clock met; DMAS-recommended initial filing within 1 business day of service initiation. FFS follows these recommendations; MCO deadlines require the signed payer contract (M-002). |
| TIME-AUTH-DECISION Plan's decision due | 2026-09-29 | pass AETNA Clock met; 72 hours from submission for ARTS service authorization requests (A-010, A-060). Receipt is not the anchor. |
| TIME-DISCHARGE-PLAN Active written discharge plan in the record | 2026-10-11 | pass AETNA Clock due-soon; At least 7 calendar days before discharge at Level 3.3. |
| TIME-ISP-COMPREHENSIVE Comprehensive treatment plan (comprehensive ISP) | 2026-10-26 | pass AETNA Clock met; Within 30 calendar days of starting services, required even if the person is discharged earlier. |
| TIME-ASSESS-FRESH Services must start within 30 days of the assessment | 2026-10-26 | pass AETNA Clock met; If services start later than 30 days after the assessment is completed, the assessment has to be redone. |
| TIME-ISP-REVIEW Next treatment plan review | 2026-10-26 | pass AETNA Clock upcoming; At least every 30 calendar days at 3.3, and whenever needs change. A plan not updated on time is "outdated". |
| TIME-EXT-REQUEST Extension (continued-stay) request | 2026-11-01 | pass AETNA Clock upcoming; DMAS-recommended window: before authorization ends and no more than 5 calendar days before its end. FFS follows these recommendations; MCO timing requires the signed payer contract (M-002). |
| TIME-DMAS-PROVIDER-APPEAL-30 Provider's informal appeal at DMAS | Exact anchor unavailable | skipped AETNA Primary applicable source unavailable: A-029 |
| TIME-MEMBER-APPEAL-60 Member's appeal to the health plan (provider files only with the member's written consent) | 2026-11-30 | pass AETNA 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 1
| Finding / record | Priority · payer | Owner · due | Evidence / state |
|---|---|---|---|
| TIME-ISP-INITIAL Miles Carter (C-0011) · E-11:ISP-INITIAL Initial treatment plan (initial ISP) | important AETNA | 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 |
Units ledger
| Authorization · payer | Units authorized | Delivered / approved / billed | Remaining · end |
|---|---|---|---|
| AU-DEMO-11 · AETNA DEMO · day | 30 | 3 / 0 / 0 | 27 · 2026-11-02 |
Mindful Note Review
| Note | Readiness | Review state |
|---|---|---|
| N-SHOW-11-0 2026-10-02 | not-ready | not-reviewed |
| N-SHOW-11-1 2026-10-03 | not-ready | not-reviewed |
| N-SHOW-11-2 2026-10-04 | not-ready | not-reviewed |
Mailbox and team
| Line | Status |
|---|---|
| CH-023 · Confirmation of receipt for Miles Carter (C-0011). | Cataloged receipt |
| CH-024 · Question requires follow-up for Miles Carter (C-0011). | Open clarification / follow-up |
| CH-025 · Team update recorded; not posted for Miles Carter (C-0011). | 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-11-FACE 2026-09-26 | Jamie Ross (S-08) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-11 FACE No structured element list Created 2026-09-26T16:00:00-04:00 |
| plan SHOW-11-PLAN 2026-09-26 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-11 PLAN needs, goals, services, agencies, discharge, family, aftercare, pharmacotherapy, choice, signature, levelOfCare Created 2026-09-26T16:00:00-04:00 |
| assessment SHOW-11-ASSESS 2026-09-26 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-11 ASSESS history, medical, psychiatric, substance, risk, strengths, riskRating, immediateNeeds Created 2026-09-26T16:00:00-04:00 |
| medication-list SHOW-11-MEDS 2026-09-26 | Dr. Quinn Mercer (S-09) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-11 MEDS No structured element list Created 2026-09-26T16:00:00-04:00 |
| consent SHOW-11-CONSENT 2026-09-26 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-11 CONSENT signature, signedDate Created 2026-09-26T16:00:00-04:00 |
| authorization SHOW-11-AUTH 2026-09-26 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO RECORD SHOW-11 AUTH No structured element list Created 2026-09-26T16:00:00-04:00 |
| note D-N-SHOW-11-0 2026-10-02 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO NOTE 11 0 setting, intervention, response, goal, humanSemanticReviewed Created 2026-10-02T16:00:00-04:00 |
| note D-N-SHOW-11-1 2026-10-03 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO NOTE 11 1 setting, intervention, response, goal, humanSemanticReviewed Created 2026-10-03T16:00:00-04:00 |
| note D-N-SHOW-11-2 2026-10-04 | Dana Patel (S-01) signed · version 1 | View supplied demo artifactDEMO NOTE 11 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 |
|---|---|---|
| F10.20 | SHOW-11-ASSESS | Dr. Quinn Mercer (S-09) |
| F10.20 | SHOW-11-PLAN | Dr. Quinn Mercer (S-09) |
Medication reconciliation
| Medication | Dose · route · schedule | Record |
|---|---|---|
| DEMO-MED-A | DEMO-DOSE-A · demo-route demo-schedule | SHOW-11-MEDS · active |
| DEMO-MED-A | DEMO-DOSE-A · demo-route demo-schedule | SHOW-11-PLAN · active |
Planned services
| Service | Frequency · target | Source |
|---|---|---|
| DEMO | 3 sessions weekly 2026-10-26 | SHOW-11-PLAN |
Consent and coverage
| Record | Scope | Status |
|---|---|---|
| CON-SHOW-11 | part2 · demo-payment AETNA | 2026-09-26 through 2027-10-08 9 structured elements |
| CV-Miles Carter (C-0011) | AETNA | 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
29 passed · 1 failed · 88 skipped
| Rule / subject | Result | Evidence |
|---|---|---|
| NOTE-LATE N-SHOW-11-0 | skipped | Rule does not apply to this level |
| NOTE-UNSIGNED N-SHOW-11-0 | skipped | Rule does not apply to this level |
| NOTE-NO-TIME N-SHOW-11-0 | skipped | Rule does not apply to this level |
| NOTE-CLONED N-SHOW-11-0 | skipped | Rule does not apply to this level |
| NOTE-COSIGN N-SHOW-11-0 | skipped | Rule does not apply to this level |
| NOTE-TIMES N-SHOW-11-0 | skipped | Rule does not apply to this level |
| GROUP-SIZE N-SHOW-11-0 | skipped | Rule does not apply to this level |
| NOTE-LATE N-SHOW-11-1 | skipped | Rule does not apply to this level |
| NOTE-UNSIGNED N-SHOW-11-1 | skipped | Rule does not apply to this level |
| NOTE-NO-TIME N-SHOW-11-1 | skipped | Rule does not apply to this level |
| NOTE-CLONED N-SHOW-11-1 | skipped | Rule does not apply to this level |
| NOTE-COSIGN N-SHOW-11-1 | skipped | Rule does not apply to this level |
| NOTE-TIMES N-SHOW-11-1 | skipped | Rule does not apply to this level |
| GROUP-SIZE N-SHOW-11-1 | skipped | Rule does not apply to this level |
| NOTE-LATE N-SHOW-11-2 | skipped | Rule does not apply to this level |
| NOTE-UNSIGNED N-SHOW-11-2 | skipped | Rule does not apply to this level |
| NOTE-NO-TIME N-SHOW-11-2 | skipped | Rule does not apply to this level |
| NOTE-CLONED N-SHOW-11-2 | skipped | Rule does not apply to this level |
| NOTE-COSIGN N-SHOW-11-2 | skipped | Rule does not apply to this level |
| NOTE-TIMES N-SHOW-11-2 | skipped | Rule does not apply to this level |
| GROUP-SIZE N-SHOW-11-2 | skipped | Rule does not apply to this level |
| DAY-HOURS E-11:2026-10-02 | skipped | Rule does not apply to this level |
| DAY-HOURS E-11:2026-10-03 | skipped | Rule does not apply to this level |
| DAY-HOURS E-11:2026-10-04 | skipped | Rule does not apply to this level |
| WEEK-HOURS E-11:2026-09-27 | skipped | Rule does not apply to this level |
| SERVICE-NO-AUTH E-11:gap | pass | Required inputs checked |
| SERVICE-NO-AUTH E-11:pending | pass | Required inputs checked |
| PLAN-ELEMENTS P-SHOW-11 | skipped | Rule does not apply to this level |
| ASSESS-DIMENSIONS AS-SHOW-11 | skipped | Rule does not apply to this level |
| ASSESS-MISSING E-11 | skipped | Rule does not apply to this level |
| TIME-ISP-INITIAL E-11:ISP-INITIAL | fail | Clock overdue; Within 24 hours of admission, covering immediate service, health and safety needs. |
| TIME-AUTH-REQUEST E-11:AUTH-REQUEST | pass | Clock met; DMAS-recommended initial filing within 1 business day of service initiation. FFS follows these recommendations; MCO deadlines require the signed payer contract (M-002). |
| TIME-AUTH-DECISION E-11:AUTH-DECISION | pass | Clock met; 72 hours from submission for ARTS service authorization requests (A-010, A-060). Receipt is not the anchor. |
| TIME-DISCHARGE-PLAN E-11:DISCHARGE-PLAN | pass | Clock due-soon; At least 7 calendar days before discharge at Level 3.3. |
| TIME-ISP-COMPREHENSIVE E-11:ISP-COMPREHENSIVE | pass | Clock met; Within 30 calendar days of starting services, required even if the person is discharged earlier. |
| TIME-ASSESS-FRESH E-11:ASSESS-FRESH | pass | Clock met; If services start later than 30 days after the assessment is completed, the assessment has to be redone. |
| TIME-ISP-REVIEW E-11:ISP-REVIEW | pass | Clock upcoming; At least every 30 calendar days at 3.3, and whenever needs change. A plan not updated on time is "outdated". |
| TIME-EXT-REQUEST E-11:EXT-REQUEST:AU-DEMO-11 | pass | Clock upcoming; DMAS-recommended window: before authorization ends and no more than 5 calendar days before its end. FFS follows these recommendations; MCO timing requires the signed payer contract (M-002). |
| TIME-DMAS-PROVIDER-APPEAL-30 E-11:DMAS-PROVIDER-APPEAL-30:D-SHOW-11 | skipped | Primary applicable source unavailable: A-029 |
| TIME-MEMBER-APPEAL-60 E-11:MEMBER-APPEAL-60:D-SHOW-11 | 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-11 | skipped | Two comparable identity sources are required |
| CONS-DEMO-DOB E-11 | skipped | Two comparable identity sources are required |
| CONS-DEMO-ADDRESS E-11 | skipped | Two comparable identity sources are required |
| CONS-DEMO-PHONE E-11 | skipped | Two comparable identity sources are required |
| CONS-DEMO-SSN E-11 | skipped | Two comparable identity sources are required |
| CONS-DEMO-GENDER E-11 | skipped | Two comparable identity sources are required |
| CONS-DEMO-MEDICAID E-11 | skipped | Two comparable identity sources are required |
| CONS-DX E-11 | pass | Required inputs checked |
| CONS-MEDS E-11 | pass | Required inputs checked |
| CONS-LOC E-11 | skipped | Rule does not apply to this level |
| CONS-PAYER E-11 | skipped | No claim payer comparison available |
| CONS-DATES E-11 | pass | Required inputs checked |
| COMP-SIGNED SHOW-11-FACE | pass | Required inputs checked |
| COMP-ISP-CLIENT-SIG SHOW-11-PLAN | pass | Required inputs checked |
| COMP-INFORMED-CHOICE SHOW-11-PLAN | pass | Required inputs checked |
| COMP-DISCHARGE-PLAN SHOW-11-PLAN | skipped | Rule does not apply to this level |
| COMP-SIGNED SHOW-11-PLAN | pass | Required inputs checked |
| COMP-ASSESS-PROFILE SHOW-11-ASSESS | skipped | Rule does not apply to this level |
| COMP-ASSESS-ELEMENTS SHOW-11-ASSESS | pass | Required inputs checked |
| COMP-SIGNED SHOW-11-ASSESS | pass | Required inputs checked |
| COMP-SIGNED SHOW-11-MEDS | pass | Required inputs checked |
| COMP-SIGNED SHOW-11-CONSENT | pass | Required inputs checked |
| COMP-SIGNED SHOW-11-AUTH | pass | Required inputs checked |
| COMP-NOTE-FIELDS D-N-SHOW-11-0 | skipped | Rule does not apply to this level |
| COMP-SIGNED D-N-SHOW-11-0 | pass | Required inputs checked |
| COMP-NOTE-FIELDS D-N-SHOW-11-1 | skipped | Rule does not apply to this level |
| COMP-SIGNED D-N-SHOW-11-1 | pass | Required inputs checked |
| COMP-NOTE-FIELDS D-N-SHOW-11-2 | skipped | Rule does not apply to this level |
| COMP-SIGNED D-N-SHOW-11-2 | pass | Required inputs checked |
| COMP-MOUD E-11 | skipped | Rule does not apply to this level |
| PEOPLE-CRED-SCOPE SHOW-11-PLAN | skipped | Rule does not apply to this level |
| PEOPLE-CRED-SCOPE SHOW-11-ASSESS | skipped | Rule does not apply to this level |
| ASAM-DX-BY-LICENSED DX-A-11 | skipped | Rule does not apply to this level |
| ASAM-DX-BY-LICENSED DX-P-11 | skipped | Rule does not apply to this level |
| CLAR-ISP-FREQ-MISSING PS-11 | pass | Required inputs checked |
| CLAR-ISP-FREQ-AMBIG PS-11 | pass | Required inputs checked |
| CLAR-PLAN-VS-DELIVERY PS-11 | skipped | Primary applicable source unavailable: A-026 |
| CLAR-GOALS-MEASURABLE E-11 | skipped | Rule does not apply to this level |
| CLAR-NOTE-GOAL-LINK E-11 | skipped | Rule does not apply to this level |
| CLAR-NOTE-TIME-SUPPORT E-11 | skipped | Rule does not apply to this level |
| CLAR-CONTRADICTION E-11 | skipped | Rule does not apply to this level |
| ASAM-CONTINUED-STAY E-11 | skipped | Rule does not apply to this level |
| COMP-PART2-CONSENT CON-SHOW-11 | pass | Required inputs checked |
| COMP-PART2-DISCLOSURE CON-SHOW-11 | pass | Required inputs checked |
| COMP-CRIMINAL-JUSTICE-CONSENT CON-SHOW-11 | skipped | Not a criminal justice referral |
| REV-ATTEND-NO-NOTE SES-SHOW-11-0 | skipped | Rule does not apply to this level |
| REV-ATTEND-NO-NOTE SES-SHOW-11-1 | skipped | Rule does not apply to this level |
| REV-ATTEND-NO-NOTE SES-SHOW-11-2 | skipped | Rule does not apply to this level |
| REV-NOTE-RETURNED-OPEN N-SHOW-11-0 | skipped | Rule does not apply to this level |
| REV-APPROVAL-LAG N-SHOW-11-0 | skipped | Rule does not apply to this level |
| REV-LATE-ENTRY-HOLD N-SHOW-11-0 | skipped | Rule does not apply to this level |
| REV-APPROVED-NO-CLAIM N-SHOW-11-0 | skipped | Rule does not apply to this level |
| REV-TIMELY-FILING N-SHOW-11-0 | skipped | Rule does not apply to this level |
| REV-SERVICE-UNBILLED N-SHOW-11-0 | skipped | Rule does not apply to this level |
| FLOW-UNREVIEWED N-SHOW-11-0 | skipped | Rule does not apply to this level |
| FLOW-MISMATCH N-SHOW-11-0 | skipped | Rule does not apply to this level |
| REV-NOTE-RETURNED-OPEN N-SHOW-11-1 | skipped | Rule does not apply to this level |
| REV-APPROVAL-LAG N-SHOW-11-1 | skipped | Rule does not apply to this level |
| REV-LATE-ENTRY-HOLD N-SHOW-11-1 | skipped | Rule does not apply to this level |
| REV-APPROVED-NO-CLAIM N-SHOW-11-1 | skipped | Rule does not apply to this level |
| REV-TIMELY-FILING N-SHOW-11-1 | skipped | Rule does not apply to this level |
| REV-SERVICE-UNBILLED N-SHOW-11-1 | skipped | Rule does not apply to this level |
| FLOW-UNREVIEWED N-SHOW-11-1 | skipped | Rule does not apply to this level |
| FLOW-MISMATCH N-SHOW-11-1 | skipped | Rule does not apply to this level |
| REV-NOTE-RETURNED-OPEN N-SHOW-11-2 | skipped | Rule does not apply to this level |
| REV-APPROVAL-LAG N-SHOW-11-2 | skipped | Rule does not apply to this level |
| REV-LATE-ENTRY-HOLD N-SHOW-11-2 | skipped | Rule does not apply to this level |
| REV-APPROVED-NO-CLAIM N-SHOW-11-2 | skipped | Rule does not apply to this level |
| REV-TIMELY-FILING N-SHOW-11-2 | skipped | Rule does not apply to this level |
| REV-SERVICE-UNBILLED N-SHOW-11-2 | skipped | Rule does not apply to this level |
| FLOW-UNREVIEWED N-SHOW-11-2 | skipped | Rule does not apply to this level |
| FLOW-MISMATCH N-SHOW-11-2 | skipped | Rule does not apply to this level |
| REV-UNITS-OVER-AUTH AU-DEMO-11 | skipped | Rule does not apply to this level |
| REV-UNITS-BURN AU-DEMO-11 | skipped | Rule does not apply to this level |
| REV-CLAIM-NO-NOTE E-11 | skipped | Rule does not apply to this level |
| REV-DENIAL-UNWORKED E-11 | skipped | Rule does not apply to this level |
| REV-PAYER-CREDENTIAL E-11 | skipped | Rule does not apply to this level |
| REV-COVERAGE-CHANGE E-11 | skipped | Rule does not apply to this level |