Colonoscopy Journey
Physician-referral entrance. BRANCH: eligible → scheduling. LOOP: prior-auth rejected then corrected (history preserved). JOIN: 3 of 5 procedure prerequisites converge — consent + prep + transport still active in parallel; "Ready for procedure" stays locked until all five meet.
Entrance: e_referralProgress controlled by: userMost-likely exit: —
You are here (4 active)
activeAuthorization decisiondecision - Where am I?
- Authorization decision — active
- What just happened?
- —
- What happens next?
- —
- What could stop me?
- —
- How long?
- —
Routes to Insurer utilization management
activeBowel prep completedevidence - Where am I?
- Bowel prep completed — active
- What just happened?
- —
- What happens next?
- Follow the provider prep instructions exactly
- What could stop me?
- Inadequate prep forces rescheduling
- How long?
- 1 day before
Routes to Provider prep instructions
activeTransportation arrangedevidence - Where am I?
- Transportation arranged — active
- What just happened?
- —
- What happens next?
- Arrange a ride (sedation prevents driving)
- What could stop me?
- —
- How long?
- —
Routes to Provider discharge policy
activeMedical clearanceevidence - Where am I?
- Medical clearance — active
- What just happened?
- —
- What happens next?
- —
- What could stop me?
- —
- How long?
- 1–7 days
Routes to Primary care / anesthesia clearance
Completed ✓ (7)
- Physician referral
- Intake & records review
- Eligibility determination
- Submit prior authorization
- Insurance authorization
- Signed informed consent
- Scheduling
Waiting on (0)
- Not waiting on anyone.
Possible next (4)
- Correct & resubmit authorization via branches_to
- Coverage denied via branches_to
- Ready for procedure via converges_on
- Prep failed — must restart via branches_to