PROVIDER · FEDERATED OPERATIONS
File a Federated Prior Auth request
UC22 imaging encounter prior auth — canonical lead sandbox use case. Pattern (c) Smart Widget for Prior Auth (Mode A provider-embedded) below composes with the substrate API contract via sandbox API key. Substrate routes the criteria query payload-blind to your data layer per ADR-031; your data layer evaluates against Highmark BCBS DE's Council-ratified Use Authority template; records stay at ChristianaCare; two-views audit chain entry emits per ADR-022.
Smart Widget for Prior Auth · Mode A
ChristianaCare federated PA request · Council-ratified Use Authority templateArchitectural commitments preserved at this surface: non-aggregation default · federation by default · per-operation authority evaluation (ADR-031) · patient-fiduciary doctrine · NO-SHT-BACKDOOR (ADR-032) · Hub payload-blindness + two-views audit chain (ADR-022).
Smart Widget for Eligibility · Mode A
ChristianaCare eligibility query · UC3 270/271 Council-ratified templateArchitectural commitments preserved at this surface: per-operation authority evaluation (ADR-031) · two-views audit chain (ADR-022) · NO-SHT-BACKDOOR (ADR-032) — non-modifiable architectural commitment per Six Commitments v1.2; production deployment failure-mode hardening landed; substrate hardening trajectory in flight; production-grade closure Q3 2026.
Smart Widget for Quality Measurement · Mode A
ChristianaCare HEDIS report · UC-4 Council-ratified templateArchitectural commitments preserved at this surface: federated query-to-data architectural pattern · NO-SHT-BACKDOOR (ADR-032) non-modifiable architectural commitment · per-operation authority evaluation (ADR-031) · two-views audit chain (ADR-022). Substrate hardening trajectory in flight; production-grade closure Q3 2026.
Recent Federated Operations
- Federated Prior Auth — APPROVED by Highmark BCBS DE for MRI Lumbar Spine (CPT 72148)UC22-imaging-encounter-prior-auth · two-views audit chain bound · payload-blind transport per ADR-031
- Federated Patient Access — patient retrieved own records via Smart Health Account (Mode C)PPIA-attested · §164.524 patient access · canonical query-to-data architectural pattern
- Federated Quality Measurement — HEDIS report submitted to NCQAPPIA-attested · institutional quality reporting authority · Council-ratified standards binding
- Smart MCP Server invocation — AI agent (Claude Desktop, Dr. Wilson session) filed prior auth via Pattern (e)Pattern (e) Smart MCP Server · UC22-imaging-encounter-prior-auth · cryptographically distinguishable from Pattern (c) at audit-record canonical
- Federated Public Health Reporting — reportable disease query satisfied; aggregate report returnedPPIA-attested · §164.512(b) public health authority