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Demo
Insurance Workflow & Authorization Management
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AJ
Alice Johnson
Admin
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EM
Elijah Moore
DOB: 08/09/2014 • Age 11
Evergreen Medicaid
male
COMPANY
Horizon Behavioral
EMAIL
parent11@demo.test
CELL
(555) 333-4444
LABEL
Re-eval
New Authorization
Overview
Diagnoses
Attributes
Authorizations
Documents
Notes
Care Team
OH
Omar Haddad
bcba
Labels
Re-eval
Overview
Diagnoses
Attributes
Authorizations
Documents
Notes
Authorizations
New Auth
Start New Authorization
Authorization Workflow Progress
Partial Approval
Submitted by
Omar Haddad
View Submitted PDF
Initial Auth
Apr 10, 2026
Submitted
20d 0h
Auth Decision
Apr 30, 2026
Partial Approval
Closed
—
Open
Partial Approval
Filed Apr 30, 2026
Partially Approved by Payer
Approve Remaining
Mark as Denied
Decision Date
Apr 30, 2026
Diagnoses
F84.0
Autistic disorder
Client Attributes
Ethnicity
African American