Features
We implemented a simplified Contraceptive (ACO) workflow that automatically generates 13 annual electronic authorizations, synchronized every 28 days.We developed an API-based integration for the Diabetes (DBT) program, managing medical forms with specialist validation and six-month validity.
We configured a flexible system for Chronic Treatments (Resolution 310) that issues authorizations based on treatment duration and scheduled dates, eliminating manual errors.
We automated eligibility rules by cross-referencing active member registry data, age, gender, and medical documentation validity.
We created automated auditing processes that convert approved requests into final prescriptions without manual intervention.
We designed a request reactivation system to manage temporary rejections due to incomplete or expired documentation.
