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AP-008

Myeloma, 65 to 74, rural, dual eligible, 76 to 150 miles

CAR-T · Phase 3, Coverage & Authorization · 22 days in stage · 14 barriers, 4 blocking

Falling behindOne task is 6 days overdue

Digital twin

Event timeline

Everything else here reads this patient's record. This writes to it. Tracking is simulated here: simulate an event and watch the pathway advance, the stage clock reset, the engine recompute, and the tracking flag change on its own.
Current phase
3. Coverage & Authorization
Time in stage
22 days
Target 14 days
Risk
Behind
One task is 6 days overdue
Events
6
Since May 29, 2026

Simulate an event

This demo simulates the tracking: however word actually arrives, a logged call, a portal message, a payer letter, the record advances the same way. Everything downstream of it is real.

Statuses move because an event said so, never because a field was edited.

  • A field somebody has to remember to update goes stale.
  • Stale status is worse than none.

What has happened

The append-only history the rest of the record projects from.

Why this patient is flagged

  • One task is 6 days overdue. Confirm the center’s caregiver requirement and any flexibility (Nurse navigator)
  • 22 days in authorization submitted to approved, past the 14-day target. Payer prior-authorization service levels run days to weeks. Standardized pre-approval has been shown to compress this to under a day, so two weeks is generous rather than aspirational. An out-of-network single-case agreement adds weeks on top and is modelled separately.
  1. Risk flaggedJul 22, 2026 · 7 days ago

    Open task past due

  2. Stage enteredJul 7, 2026 · 22 days ago

    Coverage & Authorization

  3. Criterion metJun 17, 2026 · 42 days ago

    Criterion: candidacy

  4. Criterion metJun 17, 2026 · 42 days ago

    Criterion: reach

  5. Characteristics recordedMay 29, 2026 · 61 days ago

    14 barriers scored

  6. Referral receivedMay 29, 2026 · 61 days ago

The completion criteria for this patient right now. Each moved on an event.

  • Access: cleared
  • Candidacy: cleared
  • Approval: in_progress