Partner portal

Insurer

Insurer referrals and templates: insurer case dossier, insurer-specific report editor, five mandatory insurer questions, sign & submit, auto-referrals and authorization write-back (OPS).

Implementation status: requirements documented — authenticated workflows not built (blocked on backend).

Intended users

  • Insurer partners handling referrals, dossiers, and insurer-specific reports.

Authentication & access

  • Referral or automated case trigger entry; insurer template flows in expert portal section EXP·7.

Onboarding

  • Insurer org linkage and referral channel configuration (ops-managed).

Navigation & screens (Figma)

  • EXP-05 Case dossier (insurer template).

  • EXP-07 Report editor (insurer template).

  • EXP-08 Sign & submit.

  • OPS insurer referral / AI summary (OPS-03.3).

Workflows

  • Referral received → dossier → mandatory insurer questions → report → sign & submit → authorization write-back.

Permissions boundary

  • Insurer users limited to insurer-templated cases and referral scope.

  • Sign & submit requires completed mandatory questions (server validation).

Backend capabilities needed (no API paths in repo)

  • Referral ingestion and case linkage.

  • Insurer template report model and sign-off.

  • Authorization write-back to ops/patient systems.

UI states to implement

  • Referral loading

  • Missing mandatory answers

  • Submit validation errors

  • 403

Acceptance criteria

  • EXP-05/07/08 flows work end-to-end with insurer template API.

  • Submit blocked until five mandatory questions satisfied (MEDICA-59/60).

Figma references

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