Clinical Guidelines Studio

Practice:

Changes apply to this practice only

Overview

Clinical Guidelines Studio status and items needing attention

Clinical Pathways

Knowledge Base

Clinical guideline documents powering the AI evidence layer

Test & Preview

See exactly what providers see in IntelligentOne for any patient scenario

Patient Context

Patient Insurance (optional)

Age

Sex

bypass cache

Provider View What the doctor sees in IntelligentOne

Enter patient context and click "Run Evaluation"

Results will appear exactly as providers see them

Payor Guidelines

Insurance plans and per-treatment coverage rules. Used to flag coverage issues alongside clinical recommendations.

Plans

Coverage Rules

New Payor Plan

Display Name

Slug (auto-derived if blank)

Payor Family (pick or type a new one)

Plan Type

Aliases (also matches these strings on a patient)

Notes

New Coverage Rule

Treatment Name

Treatment Aliases (case-insensitive substring match against insight text)

Linked Clinical Rule Slugs (precise match -- preferred over alias substring)

Applies to specific Plans

Hold Ctrl/Cmd to select multiple

Applies to Payor Families

Broader: applies to every plan in the family. Pick from suggestions or type a custom one.

Coverage Status

Conditions (displayed to provider)

Alternative Suggestion

Source / Citation

Notes (internal)

Bulk Upload Coverage Rules

Paste JSON or CSV. CSV columns (header required): treatment_name, treatment_aliases, rule_slugs, applies_to_payor_slugs, applies_to_payor_families, coverage_status, conditions, alternative_suggestion, source_reference, notes. Multi-value cells use semicolons.

Mode:

Settings

Practice configuration and customer management

Clinical Guidelines Studio

Overview

Clinical Pathways

Clinical Pathways

Knowledge Base

Test & Preview

Payor Guidelines

Plans

Coverage Rules

New Payor Plan

New Coverage Rule

Bulk Upload Coverage Rules

Settings

Edit Rule

Add New Rule

Edit Trigger Terms

Edit Evidence Source

New Practice Setup

Organization

Contact