UC22 Imaging Encounter Prior Auth
Publisher: Highmark BCBS DE
Ratified by: Smart Health Council · 2026-04-15
Scope: Domain VII pre-cert · imaging (CPT 70000-79999)
Status
Active · bound
47 bound operations (30d)
PROVIDER · USE AUTHORITY
Active Use Authority Instances
Council-ratified Use Authority Templates that this provider account binds operations against. Per ADR-031, authority is per-operation; per ADR-022, every operation produces a two-views audit chain. Templates are published by Payers, ratified by the Smart Health Council, and bound at Provider Enterprise Accounts.
Active instances
8
Pending review
2
Emergency-authority
0
Bound operations (30d)
12,847
Bound Use Authority Templates
Federated Patient Access (§164.524)
Publisher: SHN PBC · canonical
Ratified by: Smart Health Council · 2026-03-20
Scope: Patient access to own records · HIPAA §164.524
Status
Active · bound
312 bound operations (30d)
Federated Quality Measurement (HEDIS)
Publisher: NCQA · via Smart Health Council
Ratified by: Smart Health Council · 2026-02-10
Scope: Institutional quality reporting · HEDIS Year 1 cohort
Status
Active · bound
8 bound operations (30d)
Federated Public Health Reporting (§164.512(b))
Publisher: CDC + State DOH · via Smart Health Council
Ratified by: Smart Health Council · 2026-01-15
Scope: Reportable disease + aggregate reporting
Status
Active · bound
23 bound operations (30d)
UC22-Pharmacy-Prior-Auth (draft expansion)
Publisher: Highmark BCBS DE
Ratified by: Smart Health Council · review pending
Scope: Domain VII pre-cert · pharmacy specialty drugs
Status
Pending Council ratification
0 bound operations (30d)
Recent authority-binding activity
- UC22 Imaging PA bound — Dr. Wilson filed prior auth for Jane D. MRI Lumbar (CPT 72148)UC22-imaging-encounter-prior-auth · Council-ratified · two-views audit chain bound
- Federated Public Health Reporting bound — reportable disease query satisfied; aggregate report returnedPPIA-attested · §164.512(b) public health authority · Council-ratified
- UC22-Pharmacy-Prior-Auth expansion submitted for Council review by Highmark BCBS DESmart Health Council review pending · expected ratification 2026-06-20