SA177 Referral Work queues and Rules:


12085 “SA177 RFL-AUTH ACTIVE DENTAL OUTGOING REFERRALS"

  • Rule criteria:
    1. Referrals » Service Area = Noble Community Clinics [177]
    2. Referrals » Referral Class = Outgoing [3]
    3. Referrals » Referral Status <> Closed [6], Denied [5], Canceled [4]
    4. Referrals » Priority <> No Follow-up Needed [100]
    5. Referrals » Referral Type = Dental Endodontics [61], Dental Oral Pathology [62], Dental Oral Surgery [63], Dental Orthodontics [96], Dental Pedodontics [65], Dental Periodontics [66], Dental Prosthodontics [9000205], Dental, General [24], Pediatric Dental [9000193], Pediatric Dental Oral Surgery [848003], TMJ Pain [9000216]
    Criteria relationship: And

27602 “SA177 RFL-AUTH ACTIVE INCOMING BEHAVIORAL HEALTH REFERRALS”

  • Rule criteria:
    1. Referrals » Service Area = Noble Community Clinics [177]
    2. Referrals » Referral Class = Incoming [2]
    3. Referrals » Referral Type = Behavioral Health [900056], Addiction Medicine [848001], Psychiatry [9000177], Mental Health [69]
    4. Referrals » Reason = Counseling [990073], Medication Assisted Treatment [990121], Psych Eval [34], Substance Abuse [31]
    5. Criteria relationship: 1 and 2 and (3 or 4)
    6. Error message: "1"

9677 “SA177 RFL-AUTH ACTIVE INCOMING REFERRALS”

  • Rule criteria:
    1. Referrals » Service Area = Noble Community Clinics [177]
    2. Referrals » Referral Class = Incoming [2]
    3. Referrals » Referral Status <> Closed [6], Canceled [4]
    4. Referrals » Priority <> No Follow-up Needed [100]
    5. Criteria relationship: and

28001 “SA177 RFL-AUTH INTERNAL BEHAVIORAL HEALTH REFERRALS”

  • Rule criteria:
  • 1. Referrals » Service Area = Noble Community Clinics [177]
  • 2. Referrals » Referral Class = Internal [1]
  • 3. Referrals » Referral Type = Behavioral Health [900056], Addiction Medicine [848001], Mental Health [69], Psychiatry [9000177], Psychology [9000176]
  • 4. Referrals » C_Procedure (1200) = REFERRAL TO INTEGRATIVE MEDICINE [165116], REFERRAL TO BEHAVIORAL HEALTH COUNSELING [9092], REFERRAL TO MEDICATION-ASSISTED TREATMENT (MAT) [RF0056], REFERRAL TO DRUG/ALCOHOL COUNSELING [9068], REFERRAL TO PSYCHOLOGY [9036], REFERRAL TO PSYCHIATRY [9035] **REFERRAL TO CHILD AND ADOLESCENT PSYCHIATRY [333001], REFERRAL TO FAMILY SUPPORT [9192], REFERRAL TO CASE MANAGEMENT [9606], REFERRAL TO PSYCHIATRIC NURSE PRACTITIONER [148100]
  • Criteria relationship: 1 and 2 and (3 or 4)
  • Error message: "1"

**Added 05/2026


9678 “SA177 RFL-AUTH ACTIVE INTERNAL REFERRALS”

  • Rule criteria:
    1. Referrals » Service Area = Noble Community Clinics [177]
    2. Referrals » Referral Class = Internal [1]
    3. Referrals » Referral Status <> Closed [6], Canceled [4]
     4. Referrals » Priority <> No Follow-up Needed [100]

9679 “SA177 RFL-AUTH ACTIVE OUTGOING REFERRALS"

  • Rule criteria:
    1. Referrals » Service Area = Noble Community Clinics [177]
    2. Referrals » Referral Class = Outgoing [3]
    3. Referrals » Priority <> No Follow-up Needed [100]
    4. Referrals » Referral Status <> Canceled [4], Closed [6], Denied [5]
    5. Referrals » Referral Type <> Dental Endodontics [61], Dental Oral Pathology [62], Dental Oral Surgery [63], Dental Orthodontics [96], Dental Pedodontics [65], Dental Periodontics [66], Dental Prosthodontics [9000205], Dental, General [24], Pediatric Dental [9000193], Pediatric Dental Oral Surgery [848003], TMJ Pain [9000216]
    Criteria relationship: And

10739 SA177 RFL-AUTH REFERRAL PROVIDER NOT IN SYSTEM”

  • Rule criteria:
    1. Referrals » Service Area = Noble Community Clinics [177]
    2. Referrals » Referral Status <> Canceled [4], Closed [6], Denied [5]
    3. Referrals » referred-To Provider » Name String contain Provider Not In System
    4. Referrals » referred-By Provider » Name String contain Provider Not In System
      Criteria relationship: 1 and 2 and (3 or 4)