Your health plan's prior authorization policies are being digitized. But digitization alone doesn't prove that automated workflows will work at scale, across different EHR systems, in production conditions.

Testing policy digitization across multiple EHRs is harder than it looks. Itiliti Health has spent years working directly with health plan customers on policy digitization. They've seen where automation breaks, where EHR vendors interpret policies differently, and where documentation gaps trip up workflows. Drummond has conducted extensive testing on the Clinical Request for Documentation (CRD) standard and is now addressing the next phase: testing digitized policies themselves.

In this webinar recording, Itiliti Health discusses the challenges its customers face when testing policies across vendor systems. Drummond shows how its FHIRplace testing framework addresses those gaps. Together, they bring customer experience and testing expertise to the conversation.

WHAT YOU'LL LEARN

THE STATE OF CRD TESTING AND WHAT IT REVEALED

Timothy Bennett and Lisa Palmer share findings from Drummond's testing of how EHRs and payers handle CRD requests:

-- The scope of participants and testing conditions
-- Key findings from the CRD request/response cycle
-- Where EHRs and payers interpret digitized policies differently
-- Why clean data models matter for accurate authorization decisions
-- Patterns across EHR vendors and provider workflows

REAL-WORLD IMPLEMENTATION CHALLENGES

Michael Lunzer shares what Itiliti Health's health plan customers encounter when testing digitized policies:

-- Variability in how EHR systems read and apply policy data
-- Documentation and template requirements that cause automation to fail
-- How policy complexity translates into testing complexity
-- Anonymized examples from customer implementations
-- Why testing matters for meeting the CMS deadline and building confidence in the rollout

FROM CHALLENGES TO TESTING STRATEGY

The presenters connect these implementation challenges to testing strategies:

-- How FHIRplace tests policy digitization across vendor environments
-- Why continuous testing matters as policies and EHR versions change
-- How Drummond helps health plans reduce risk in policy digitization rollouts
-- The timeline and process for certification
-- Next steps for plans and payers ready to test