All tasks
Utilization Management
pa_t016_t016_o001_p01_p2p_payer

Peer-to-Peer Session — Myocardial imaging PET perfusion multiple studies rest and s

P2P session is on the calendar — run it and record the outcome. Peer-to-peer coordinator seat for a 62-year-old male with Atherosclerotic heart disease of native coronary artery with unspecified angina pectoris; Presence of coronary angioplasty implant and graft; Rajesh Mehta, MD is the requesting clinician for Myocardial imaging PET perfusion multiple studies rest and s. (The medical director recorded their decision; the nurse reviewer completed their recommendation; intake was recorded; triage routed the case.) Run the peer-to-peer session, record the outcome, and finalize the determination yourself.

🧰 Workspace

ResourceLocation
Case data & payer toolschi-bench MCP server
Handbook/workspace/skills/managed-care-operations-handbook/SKILL.md
Incoming request docs/logs/artifacts/workspaces/<case-id>/payer/incoming_request/
Working files/logs/artifacts/workspaces/<case-id>/payer/
Shared handoff/logs/artifacts/workspaces/<case-id>/shared/handoff/
Tool reference/opt/chi-bench-task-assets/tool_reference.md

📋 Rules

  • Use only payer namespaces: payer_intake_hub, triage, review, determination, p2p, p2p_session, payer_letter_center
  • Do not inspect simulator source, tests, solution, or expectations files
  • Do not fabricate source evidence — only create agent-authored summaries or correspondence when your workflow requires it
  • Include rationale-rich notes when submitting clinical reviews