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T119 Eligibility and authorization queue

Eligibility and authorization queue

Authorization specialists working through a morning queue in a back office

State on Mon, Sep 28, 2026 26 items unresolved 4 had no owner for 5 days Internal

One queue for every eligibility and authorization item on the Fellbrook program referrals, each with a named owner, the evidence it waits on and the appointment it protects, so the 12 items due within seven days and the four that had no owner are worked first. Prepared each morning by the regional intake lead at Alderpoint Wellness Group for the authorization reviewers and the intake team. Of 57 items, 31 are resolved and 26 are not. Issued Thursday, October 1, 2026.

Items in the queue57Fellbrook program referrals
Resolved3126 still open
Due within 7 days12appointments in the next week
Older than 10 days2213 waiting on a plan response

Sample template: the firm, people, clients and figures are fictional, and the embedded view holds synthetic sample records.

What is still unresolved

The 26 unresolved items fall into six types. Plan means the item waits on a plan response, Document means it waits on a document from the person referred, Owner means it had no owner for more than 5 days, and Soon counts items tied to an appointment within 7 days. Eligibility check and Visit authorization carry the most open items, 6 each, and each has 3 due soon.

Live example from the Dashboards app, shown with Fellbrook Community Credit Union's demo data. Block dates move forward each week, so they can differ from the sample dates on this page.

The open authorization queue

The board groups the queue by status: Logged, Waiting on plan response, Waiting on document and Waiting for owner. Each card is a set of items with one owner, a count, how many are due within 7 days and a due date. Nine cards are on the board. Three belong to Fellbrook Community Credit Union, three to Tollgate School District and three to Marrick Foods. Read the Waiting for owner column first, because nothing in it moves until a person is named.

Internal page

This page stays inside Alderpoint Wellness Group. It holds plan and document status for the queue, and no names of the people referred and no clinical content. Reviewers record what the plan response says; they do not interpret clinical records.

The cards, with owners and dates

CardStatusOwnerItemsWithin 7 daysDue
Authorization items waiting on a plan responseWaiting on plan responseOdalys Fennimore147Oct 8
Authorization items waiting on a documentWaiting on documentOdalys Fennimore83Oct 8
Authorization items that had no ownerLoggedYolanda Prentiss42Oct 8
Tollgate authorization items waiting on a plan responseWaiting on plan responseOdalys Fennimore62Oct 8
Tollgate authorization items waiting on a documentWaiting on documentOdalys Fennimore31Oct 8
Tollgate authorization items with no ownerWaiting for ownerRohan Bhattacharya21Oct 2
Marrick authorization items waiting on a plan responseWaiting on plan responseOdalys Fennimore52Oct 8
Marrick authorization items waiting on a documentWaiting on documentOdalys Fennimore41Oct 5
Marrick authorization items that had no ownerWaiting for ownerYolanda Prentiss21Oct 2

The three Fellbrook cards hold 26 of the 57 items, and the same 26 are the unresolved ones: 14, 8 and 4. The six cards for Tollgate School District and Marrick Foods hold 22 more items between them, shown here so that the owner load can be seen in one place. Two cards are due tomorrow, Fri, Oct 2: Tollgate items at Northway that Rohan Bhattacharya has to assign, and Marrick items at Cedar Hollow that Yolanda Prentiss has to assign. The previous reviewer of the Marrick items moved to another program.

When the appointment is close

The donut splits the 26 unresolved items by appointment date. Twelve are tied to an appointment within the next 7 days and 14 have a later date or none. The 12 come first, whatever their age.

Live example from the Dashboards app, shown with Fellbrook Community Credit Union's demo data.

Ownership rules

How an item is owned and moved
One owner per itemEvery item shows one named reviewer. An item with no owner for more than 5 days goes to the director of operations or the regional intake lead, who assigns a named reviewer at the morning review.
Nearest appointment firstItems tied to an appointment within 7 days are worked before older items. 12 items qualify today: 7 waiting on a plan response, 3 on a document and 2 that had no owner.
Plan responsesPlan responses arrive by fax to each location and are filed locally. Until they are collected centrally, the reviewer asks each location for the responses filed since the last request.
DocumentsA request for a document from the person referred is sent again once it is 5 days old. Staff check that the document is present and complete, not what it says.
Who decidesAuthorized staff decide each item and record the evidence and the date beside it. Any plan rule is read and applied by the reviewer, never assumed.
Eligibility fileFiona MacAllister, benefits manager at Fellbrook Community Credit Union, sends the program eligibility file on the first business day of each month: Oct 1, then Nov 2.
Program boundaryAdministration only. Clinical matters stay with the treating professionals.

Four items had no owner for more than 5 days

Four of the 57 Fellbrook items sat in the queue with no named reviewer. All four are older than 10 days, and 2 are tied to appointments within the next 7 days. Yolanda Prentiss assigned each to a named reviewer, and each is now waiting on an answer from a location.

Consequence. An item without an owner has no next action, so its appointment date arrives with the question still open. Ask. The reviewers record the location answers and resolve the 2 items tied to appointments by Oct 8. Four more unowned items, 2 for Tollgate School District and 2 for Marrick Foods, are due to be assigned tomorrow.

Working the 12 items due within 7 days

✓Pull the 12 items with an appointment in the next 7 days
✓Assign any item with no owner to a named reviewer
Collect the plan responses filed at each location
Record the answer, the evidence and the date on each item
Resolve the 12 items before the appointments, by Oct 8
This week
✓Assign the four unowned Fellbrook items. Owner: Yolanda Prentiss, done
Assign the 2 Tollgate items at Northway. Owner: Rohan Bhattacharya, Oct 2
Assign the 2 Marrick items at Cedar Hollow. Owner: Yolanda Prentiss, Oct 2
Send the 4 Marrick document requests again. Owner: Odalys Fennimore, Oct 5
Collect plan responses from the locations and resolve the items tied to appointments. Owner: Odalys Fennimore, Oct 8
Open the October eligibility file from Fiona MacAllister. Owner: Rohan Bhattacharya, Oct 1

What is resolved

Thirty-one of the 57 items are resolved. That is a little over half, and the 26 left are all in the cards above.

Items resolved
54%

Live example from the Dashboards app, shown with Fellbrook Community Credit Union's demo data.

Who is working the queue
OFOdalys FennimoreAuthorization reviewer, Alderpoint Wellness Group, owns 6 cards and 40 items waiting on a plan response or a document
YPYolanda PrentissDirector of operations, Alderpoint Wellness Group, owns 2 cards and 6 items that had no owner
RBRohan BhattacharyaRegional intake lead, Alderpoint Wellness Group, owns 1 card and 2 items that need a reviewer
How to use this template

Prepare the queue each morning. List every item with its owner, the evidence it waits on and the appointment it protects, and put items due within 7 days first.

VariableMeaningRequired
{{queue.item_rows}}One row per item or card with type, status, owner and countRequired
{{item.owner}}Named reviewer responsible for the itemRequired
{{item.status}}Waiting on plan response, waiting on document, waiting for owner or resolvedRequired
{{appointment.date}}Date of the appointment the item protectsRequired
{{item.age_days}}Days since the item entered the queueRequired
{{plan.response_source}}Location where the plan response was filedOptional
{{program.eligibility_file}}Monthly eligibility file from the employerOptional

If a required value is missing, show Needs review in its place and hold the queue; never guess an owner, a date or a plan answer. If the queue cannot be read, show Unavailable instead of the counts.

The live Dashboards blocks on this page show the Fellbrook Community Credit Union demo profile. Point each block at your own client's profile, or remove it, before you share the page. Filter the embedded view to the same client as well.