Prior Authorization Decision Tree Interactive MicroSim

Run the Prior Authorization Decision Tree Interactive MicroSim MicroSim Fullscreen

About This MicroSim

This MicroSim turns an MRI-Brain-for-headache prior-authorization policy into an interactive decision tree. Each clinical checkpoint — red-flag symptoms, conservative treatment, symptom persistence, documentation adequacy, and guideline alignment — branches toward an approve, deny, pend, or peer-review outcome. Five pre-loaded cases let students practice applying medical-necessity criteria and immediately see whether their reasoning reached the clinically correct result.

How to Use

Read the case facts in the side panel, then answer the current checkpoint with Yes or No based on those facts; your path highlights down the tree. When you reach an outcome, the sim tells you whether it matches the case and, if not, what the correct outcome should have been. Use Reset case to retry the same case or Next case to move on; the footer tracks your running accuracy across cases.

Iframe Embed Code

You can add this MicroSim to any web page by adding this to your HTML:

<iframe src="https://dmccreary.github.io/modeling-healthcare-data/sims/prior-authorization-decision-tree-microsim/main.html"
        height="450px"
        width="100%"
        scrolling="no"></iframe>

Lesson Plan

Grade Level

9-12 (High School Geometry)

Duration

10-15 minutes

Prerequisites

TODO: List prerequisites.

Activities

1. Exploration (5 min): TODO
2. Guided Practice (5 min): TODO
3. Assessment (5 min): TODO

Assessment

TODO: List assessment criteria.

References

1. TODO: Add references.