Life cycle of an enrollment case

  • Release version: Xanadu
  • Updated August 1, 2024
  • 1 minute to read

    • Enrollment cases within the Patient Support Services application can be in one of the several states as it progresses through the fulfillment cycle.

    The following diagram shows the different states of an enrollment case.

    Figure 1. Enrollment case life cycle
    Enrollment case life cycle within Patient Support Services. For the text description, refer to the Enrollment case states section.
    Table 1. Enrollment case states

    State

    Description

    New

    Enrollment case is created but not yet assigned to anyone.

    Open

    Enrollment case is assigned.

    Review in progress

    Enrollment request is being reviewed by a care coordinator.

    Pre-auth in progress

    Patient consent is reviewed by a care coordinator and pre-authorization request is in progress.

    Enrollment accepted

    Enrollment request is accepted.

    Enrollment rejected

    Enrollment request is rejected.

    Pending services fulfillment

    Pre-authorization review request is marked as completed and the services are yet to be fulfilled.

    Completed services fulfillment

    Program services associated with the enrollment request are fulfilled.

    Closed complete

    Enrollment case was closed with the resolution code and notes, and the patient was enrolled into the program.

    Closed incomplete

    Enrollment case was marked as incomplete because patient was not enrolled into the program.

    Cancelled

    Enrollment case was canceled because it was an invalid request.
    Note:
    You can't edit a case when the state of the case is set to Enrollment rejected, Closed complete, Closed incomplete, or Cancelled.