{"version":"0.38.0","built_at":"2026-10-24T19:53:00.313Z","license":"CC BY 4.0 © Mike Reams","canonical":"https://catalog.mikereams.com","value_stream":{"id":"VS-480","name":"Referral-to-Appointment","industries":["healthcare"],"description":"Turn a referral or a patient's own request into a booked visit the patient is ready for: the right clinician and slot, a matched patient record, verified coverage, any payer authorization in place and the patient told what it will cost. Delivering the visit itself starts Admit-to-Discharge or an outpatient encounter.","outcome":"The patient arrives for a visit that is booked with the right clinician, registered to the right record, covered, authorized where required and understood in cost.","trigger":"A clinician refers a patient, or a patient asks for an appointment.","aliases":["Referral-to-Visit","Access-to-Visit","Patient Access Flow","Request-to-Appointment"],"stages":[{"id":"VS-480.10","order":1,"name":"Receive Request","description":"Receive the referral or request with the reason and the clinical information that came with it.","capability_ids":["BC-1810.10","BC-1880.30"],"events":[]},{"id":"VS-480.20","order":2,"name":"Register Patient","description":"Find or create the patient's record, then complete pre-registration with demographics and insurance.","capability_ids":["BC-1810.20"],"events":[]},{"id":"VS-480.50","order":3,"name":"Schedule","description":"Book the slot with the right clinician and resources and send reminders and instructions.","capability_ids":["BC-1810.10"],"events":[]},{"id":"VS-480.30","order":4,"name":"Verify Coverage","description":"Confirm the patient's coverage and benefits for the service requested.","capability_ids":["BC-1810.30"],"events":[]},{"id":"VS-480.40","order":5,"name":"Authorize","description":"Obtain any prior authorization the payer requires before the service.","capability_ids":["BC-1810.40"],"events":[]},{"id":"VS-480.60","order":6,"name":"Estimate & Clear","description":"Give the patient an estimate of what they will owe, help with financial assistance where needed and clear the account financially.","capability_ids":["BC-1810.50"],"events":[]}]}}