Care Central 2.12 

New and Updated Capabilities: 

• Patient Experience - Validation for Date Fields 
  Enhanced data integrity with input validation now added to all date fields.  If an invalid date is added into a date field the person will be informed to enter a valid date.   

• Send Care Guide Link to Patients 
  The Care Guide link can now be sent simultaneously via SMS and Email when triggered within Care Central. 

• Patient Journey Management Enhancements 
  In addition to the existing options to Cancel a Journey or put it on Hold, administrators now have the ability to Close a Journey.  This allows an administrator to close a journey after a consultation if the patient has decided not to proceed with a procedure.  With now both “Close a Journey” and “Cancel a Journey” administrators will be able to differentiate on patients who have decided not to proceed based on the conclusion of an event within the journey, vs patients who stopped engaging and responding as part of the journey.   

• Automated Insurance Verification & Prior Authorization 
  Administrators can now run automated checks for insurance verification and prior authorization for patients managed within Care Central. 

  • Automated Insurance Verification checks: 

    • Patient’s insurance status (active and billable) 

    • Any applicable coinsurance or copay amounts 

    • Patient’s deductible status and usage 

    • Patient’s maximum out-of-pocket limits and usage 

  • Automated Prior Authorization Required verifies if a patient’s plan necessitates prior authorization for specific CPT codes/services. 

  • The automated submission will provide a result within 3-5 seconds  

• Addition of a Primary Care Provider field on the patient record.  
  Administrators now have the ability to enter the patient’s PCP name for reference as part of the patient’s journey.  

Orbita Digital Front Door 4.3 

New and Updated Capabilities: 

GenAI Question & Answers Module 
The GenAI Module has been enhanced with several new features: 

• Ability to scan websites, PDFs, and Excel documents to create a content index for answering patient questions. 

• Patients can inquire within Orbita’s Chat Assistant, which utilizes the GenAI module to provide answers based on a pre-configured index. 

Updates to the GenAI Module include: 

• Content Indexing 

  • Enhanced indexing service for improved content retrieval. 

• Multi-lingual support 

  • Enabling responses in the patient’s native language. 

• Suggested Content  

  • Feature for offering related questions and answers as part of a question response. 

• Prompt Management  

  • Administrators to define response guidelines, such as reading level and character count. 

• Contextual Chat History 

  • GPT remembers prior question asked 

  • VectorDB will correctly fetch relevant documents when asked ambiguous questions like “who is she?” 

• New GPT Models that are supported 

  • GPT-4o and 4-Turbo available in 4.3.0. GPT-4o Mini available in 4.3.1 

• New Embedding Model 

  • The embedding model was updated to OpenAI’s newest embedding model 

• Streaming enhancements 

  • Substantially faster streaming & customizable streaming speed 

• Text Formatting 

  • Markdown Support: GPT can now form bullet point lists, numbered lists, make text bold or italicized, and include headers 

  •  Auto Hyperlinking: URLs, email addresses and phone numbers are automatically hyperlinked 

•  GPT Tools 

  GPT can call functions defined in experience designer. These can be any type of function, e.g

  .

  an API call to a scheduling microservice, a function that pulls information from a database etc 

• HTML & Adaptive Card function calling: GPT can call functions that display HTML or an adaptive card underneath its message, e.g. it could display a “Schedule Appointment” form underneath its message 

• Safe Mode (Non-Streaming Only) 

  • Source Relevancy Verification: With source relevancy verification enabled, GPT’s answer is blocked if there is no context document relevant to the question. This is a highly effective method of preventing GPT from answering questions unrelated to the customer’s content like “Who is the president?” and is effective at countering prompt injection. Source relevancy is determined concurrently with answer generation so adds no lag to answer generation 

  • Answer-Source Verification: The text of the answer is double-checked against the context documents to verify that the answer contains only information from the context documents. This adds some lag to answer generation 

• Inline Citation Mode (Non-Streaming Only) 

  • GPT outputs an answer with inline citations. Style is customizable, comes with three default styles that can be set in the genai module’s settings. 

• Structured Output Mode 

  • Provides access to OpenAI’s new structured output feature, in which the output is guaranteed to be 
    a JSON object following a supplied schema. Useful for e.g. generating multiple follow-up questions, to categorize unstructured data like OCR text from an insurance card etc 

• Summarization Mode 

  • Rather than having GPT generate an answer, GPT summarizes the most relevant document 

• Document Retrieval Mode 

  • Rather than having GPT generate an answer, the most relevant document is displayed. The most relevant document can be determined either with cosine similarity or by having GPT pick from among a selection of documents 

  • Text cleanup option: After a document is selected, GPT will perform minor text cleanup, e.g. removing any HTML that might be present, removing incomplete sentences, formatting lists and headers with markdown etc. 

• Additional Information on Context Documents 

  • All context documents are listed in the payload, which enables e.g. displaying more than one source 

  • Document relevancy ratings: Each context document in the payload now comes with a relevancy rating (“Relevant”, “Closely Related”, “Somewhat Related”, “Irrelevant”). This is used for safe mode, enables displaying multiple sources while ensuring they are all relevant, and provides an alternative method for selecting the top source. 

• Miscellaneous 

  • GPT is aware of the date & time if a timezone is set 

  • Additional runtime and token usage statistics in payload 

  • Translation available in orbitaUtil 

  • Artificial streaming available in orbitaUtil 

• Bug Fixes 

  • Fixed issue where GPT’s response would not be translated if a DialogFlow timeout was hit 

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• Securely capture Patient Demographics, Insurance, and Health data that is submitted into Care Central 

• Patient Request work list to manage and report against all requests submitted 

• Included Forms:  

• New Appointment Request  

• Existing Appointment Request 

• Cancel 

• Reschedule 

• Confirm 

• Billing Inquiry  

• Pricing Inquiry  

• General Support Inqury 

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Data & Analytics 1.2 

New and Updated Capabilities: 

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