Secure intake · Step-by-step submission

Submit a complex care case

Provide the person, request and supporting context. RCM Connect will structure the case for review by a named clinical team.

Private document storage Purpose-scoped consent Human validation

Generate a sample oncology case Prefill the form with Raymond Gagnon, a fictitious demonstration patient.

Step 1 of 4 Person of concern Use a fictitious identity for this demonstration.

Full name Fictitious demo name only

Date of birth

Sex

Requesting party

Requester type

Organization

Contact name

Contact email

Step 2 of 4 Clinical request Describe the outcome needed, then paste the relevant fictitious clinical context.

Requested service

What outcome is requested?

Clinical notes 0 / 20,000

Do not include real names, identifiers or personal health information.

Step 3 of 4 Documents & service level Attach one report and include any approved envelope or target date.

Choose a clinical PDF Optional · genuine PDF · 10 MB maximum

Approved envelope

Budget amount

Currency

Payor

Authorization reference

Target completion Optional. The agent console will track this as the case SLA.

Step 4 of 4 Consent & review Each purpose is recorded separately with the case.

Consent granted by

PersonNot entered

RequestNot selected

TargetNo target date

Authorization attestationI am authorized to submit this entirely fictitious demonstration case and confirm that it contains no real personal health information.

Human-in-the-loop

The generated brief and routing suggestion are decision support only. A named RCM agent must review and confirm the case.