Prior Authorization Workflow Example

Overview

Prior authorization examples show how your business meaning can become FoxCommand-compatible runtime material.

Prior authorization is the primary healthcare workflow pattern for a first FoxCommand integration discussion.

Practical Question

How does a healthcare engineering team map prior authorization semantics into FoxCommand-compatible runtime material?

Assets

• Business Semantics: ../../../business-semantics/prior-authorization.business-semantics.example.json
• Customer Configuration: ../../../customer-configuration/prior-authorization.customer-profile.example.json
• Decision Mapping: ../../../decision-mapping/prior-authorization.decision-mapping.example.json
• Existing governance artifact: ../../../industry/prior_auth_governance_artifact.example.json
• Runtime request: ../../../runtime-requests/governed-execution.request.example.json
• Runtime response: ../../../runtime-responses/governed-execution.response.example.json

Flow

1. Capture prior authorization Business Semantics.
2. Select Customer Configuration references, including the Customer Profile context.
3. Build Decision Mapping for PRIOR_AUTH_REVIEW_v1.
4. Submit governed execution material through Runtime API contracts.
5. Store returned runtime evidence references in your systems.

First Integration Step

Use the linked Customer Configuration, Business Semantics, and Decision Mapping examples to prepare a governed execution request. Then compare the runtime request and response examples and confirm exact request fields in the Runtime API Reference.