ARKONE
← The Cabinet
Use case · dentalThe Signature · the human approval step2 minute read

Assembling the pre-authorisation packet a payor will not send back

Packets stop going out short of the documentation the payor asks for, so the patient is not waiting on a second request for information

The Signature, seen from above on the Cabinet floor plan.
Exhibit 1. The Signature, at its place in the room.

A pre-authorisation for a crown or a surgical extraction needs the radiographs, the periodontal charting and a narrative that says why the tooth needs this treatment and not a cheaper one. Coordinators write the narrative from scratch each time, attach the wrong image, and the request comes back for information a month later with the patient still waiting. If you own a dental group, that is a desk in your own business.

What the work is

An agent that collects the radiographs and chart notes for the planned procedure code, drafts the narrative in the form the payor asks for, and checks the packet against that payor’s documentation requirements before submission. The dentist reviews and signs the narrative; the agent files it and tracks the response. In the Cabinet, ArkOne’s reference design for an executive agent, this is the Finance seat: one of ten specialists the room can consult, each a name, a model and a set of instructions rather than a department.

The part of the design carrying the weight here is the signature, and the setting that governs it is stated once on the Register.

What it does not do

The clinical narrative is a statement about a specific patient’s mouth, and the treating dentist reads and signs it before it goes to a payor. That is not a limitation of the software. It is the line the reference design draws on purpose, and a vendor who offers to move it is selling you something else.

What changes

Packets stop going out short of the documentation the payor asks for, so the patient is not waiting on a second request for information.

Take pre-authorisation, clinical narrative, attachment into the demonstration and use them without explaining them. A vendor whose agent handles this work already knows those words; one who asks what they mean is showing you a system built for a different trade.

Next in this edition: Checking on the patient the day after surgery.

By evening

Drag the day. This work is owned by the Finance seat, and one hour of it is not the machine's to decide.

09:0017:00

Assembly · the Seats

The Seat that owns this work gathers what it needs and drafts. This is the part a demonstration shows you, and it is the part that cannot break anything.

What you have at five: Packets stop going out short of the documentation the payor asks for, so the patient is not waiting on a second request for information

The hours are a shape, not a schedule. What is fixed is the order: nothing reaches a system you run before the Door, and nothing continues past the wait without a person.

See it against your own week

The Private AI Clinic takes one day of your team's real work and shows where a Cabinet would sit in it.