{"version":"0.38.0","built_at":"2026-10-24T19:53:00.313Z","license":"CC BY 4.0 © Mike Reams","canonical":"https://catalog.mikereams.com","capability":{"id":"BC-1810","name":"Patient Access","level":1,"parent_id":null,"l1_id":"BC-1810","industry":"healthcare","macro_id":null,"path":["Patient Access"],"description":"Get each patient to the right appointment or admission with a confirmed identity, verified coverage, any authorization the payer requires and a clear view of what they will owe, so care starts on time and the claim can be paid. Delivering the care and billing for it afterward are owned elsewhere.","aliases":["Front-End Revenue Cycle","Patient Access Services","Patient Intake","Front Office"],"in_scope":["Referral intake, appointment scheduling and provider schedule templates","Registration, check-in, patient identity resolution and consent capture","Eligibility and benefits verification and provider-side prior authorization","Patient cost estimates, financial clearance and point-of-service collections"],"out_of_scope":["General contact center handling of patient calls and messages (see BC-450.20)","The payer's own review and decision on an authorization request (see BC-1870.50)","Bed assignment, transfers and discharge events after admission (see BC-1820.50)","Billing and collecting patient balances after the visit (see BC-1840.50)"],"csdm_note":"Record as a Business Capability realized by the scheduling, registration and patient accounting modules of the EHR plus eligibility, estimate and authorization Business Applications; align it to patient-facing access Business Services such as scheduling and registration.","status":"active","successor_id":null,"child_ids":["BC-1810.10","BC-1810.20","BC-1810.30","BC-1810.40","BC-1810.50"]},"crosswalk":{"realized_by":[{"product_id":"PR-120","product":"Salesforce","pc_id":"PC-120.96","pc":"Health Cloud","maturity":"partial","via":"BC-1810.10.10"},{"product_id":"PR-630","product":"Epic","pc_id":"PC-630.30","pc":"Patient Access","maturity":"core","via":"BC-1810.10.30"},{"product_id":"PR-630","product":"Epic","pc_id":"PC-630.70","pc":"Care Everywhere and Interoperability","maturity":"core","via":"BC-1810.10.20"},{"product_id":"PR-630","product":"Epic","pc_id":"PC-630.80","pc":"Payer-Provider Exchange","maturity":"partial","via":"BC-1810.40.20"},{"product_id":"PR-640","product":"Oracle Health","pc_id":"PC-640.30","pc":"Patient Administration","maturity":"core","via":"BC-1810.10.30"},{"product_id":"PR-640","product":"Oracle Health","pc_id":"PC-640.80","pc":"Interoperability, Referrals and Public Health Reporting","maturity":"strong","via":"BC-1810.10.20"},{"product_id":"PR-640","product":"Oracle Health","pc_id":"PC-640.95","pc":"Oracle Health Payment","maturity":"partial","via":"BC-1810.50.30"},{"product_id":"PR-650","product":"MEDITECH Expanse","pc_id":"PC-650.40","pc":"Revenue Cycle","maturity":"core","via":"BC-1810.30.10"},{"product_id":"PR-650","product":"MEDITECH Expanse","pc_id":"PC-650.50","pc":"Electronic Prior Authorization","maturity":"partial","via":"BC-1810.40.10"},{"product_id":"PR-650","product":"MEDITECH Expanse","pc_id":"PC-650.70","pc":"Patient Connect and Patient Portal","maturity":"strong","via":"BC-1810.10.30"},{"product_id":"PR-660","product":"InterSystems HealthShare","pc_id":"PC-660.50","pc":"Patient Index","maturity":"core","via":"BC-1810.20.30"}],"used_in":[{"vs_id":"VS-480","vs":"Referral-to-Appointment","stage_id":"VS-480.10","stage":"Receive Request","order":1,"via":"BC-1810.10"},{"vs_id":"VS-480","vs":"Referral-to-Appointment","stage_id":"VS-480.20","stage":"Register Patient","order":2,"via":"BC-1810.20"},{"vs_id":"VS-480","vs":"Referral-to-Appointment","stage_id":"VS-480.50","stage":"Schedule","order":3,"via":"BC-1810.10"},{"vs_id":"VS-480","vs":"Referral-to-Appointment","stage_id":"VS-480.30","stage":"Verify Coverage","order":4,"via":"BC-1810.30"},{"vs_id":"VS-480","vs":"Referral-to-Appointment","stage_id":"VS-480.40","stage":"Authorize","order":5,"via":"BC-1810.40"},{"vs_id":"VS-480","vs":"Referral-to-Appointment","stage_id":"VS-480.60","stage":"Estimate & Clear","order":6,"via":"BC-1810.50"},{"vs_id":"VS-490","vs":"Admit-to-Discharge","stage_id":"VS-490.10","stage":"Admit","order":1,"via":"BC-1810.20"},{"vs_id":"VS-500","vs":"Order-to-Result","stage_id":"VS-500.20","stage":"Schedule & Collect","order":2,"via":"BC-1810.10"},{"vs_id":"VS-510","vs":"Encounter-to-Cash","stage_id":"VS-510.60","stage":"Bill & Collect from Patient","order":6,"via":"BC-1810.50"}],"patterns":[],"stacks":[],"books":[],"technology":[{"id":"TR-150.10","name":"Electronic Health Record Systems","domain_id":"TR-150","via":"BC-1810.10"},{"id":"TR-150.20","name":"Health Data Interoperability Engines","domain_id":"TR-150","via":"BC-1810.20.30"},{"id":"TR-150.50","name":"Healthcare Claims Clearinghouses & Billing Systems","domain_id":"TR-150","via":"BC-1810.30"}],"frameworks":[],"principles":[],"data_concepts":[],"domain_events":[]},"ancestors":[],"children":[{"id":"BC-1810.10","name":"Patient Scheduling & Referrals","level":2,"child_count":5},{"id":"BC-1810.20","name":"Patient Registration & Identity","level":2,"child_count":6},{"id":"BC-1810.30","name":"Eligibility & Benefits Verification","level":2,"child_count":5},{"id":"BC-1810.40","name":"Prior Authorization","level":2,"child_count":4},{"id":"BC-1810.50","name":"Patient Financial Counseling","level":2,"child_count":5}]}