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Automate CGM Device Authorization
Workflow Details
Identify diabetes patients who meet criteria for continuous glucose monitoring using diagnoses, insulin use, and A1c history, then auto-complete and route prior auth documentation.
Interested in using this workflow? Contact the Bunkerhill Team.
What this Workflow Does
This workflow verifies diabetes type and insulin regimen from conditions and medications, reviews recent A1c and hypoglycemia events from labs and encounters, and compiles payer-required evidence. It prepopulates forms and sends them for clinician review or direct submission based on site settings. This speeds access to guideline-supported CGM for eligible patients while reducing administrative burden.
Use Case
Streamline prior authorization
Clinical Speciality
Primary Care
Data Sources
Conditions
Medications
Labs
Encounters
Messages
