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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.
- Risk flaggedJul 22, 2026 · 7 days ago
Open task past due
- Stage enteredJul 7, 2026 · 22 days ago
Coverage & Authorization
- Criterion metJun 17, 2026 · 42 days ago
Criterion: candidacy
- Criterion metJun 17, 2026 · 42 days ago
Criterion: reach
- Characteristics recordedMay 29, 2026 · 61 days ago
14 barriers scored
- 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