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Worlds / Healthcare and insurance / Athenahealth

Athenahealth world

A local athenaOne practice with departments, providers, appointment slots, patient insurance and claims. Test the scheduling and front desk agent that books, reschedules, checks eligibility and cancels visits.

AppointmentsSlotsEligibilityCancellationsClaims
Book a demo
Athenahealth · Schedule · Dr. Sample, Main St clinicIllustrative

Mon 3

New patient · Test, Echo09:00 to 09:30

Tue 4

Wed 5

Follow up · Test, Foxtrot10:00 to 10:20Thu 6 · 10:00
Follow up · Test, Golf11:00 to 11:20Thu 6 · 10:00
Physical · Test, Hotel14:00 to 14:40Fri 7 · 14:00

Thu 6

Recheck · Test, India15:00 to 15:20

Fri 7

Consult · Test, Juliet09:30 to 10:00Canceled

fig. 1 · illustrative replica · the agent's changes land as you scroll

What's in this world

What you get when you open Athenahealth. Seeded, local, yours to break.

Seeded records

departments
3 clinics with their own hours
providers
8, one with a blocked Wednesday
appointments
120 open slots and 70 booked across five days
patients
80 fake patients with primary insurance on file
claims
45 across draft, submitted and paid

Agent jobs you can test

  1. Reschedule appointments when a provider's day is blocked
  2. Run an eligibility check before a new patient visit
  3. Cancel no longer needed visits with the right reason

What your agent can get wrong here

The reply sounds right. The record is what counts.

ActionWhat the world recordsCommon mistake
Reschedule a visitappointmentid, the new slot and the original appointment statusBooks two patients into the same Thursday slot
Cancel an appointmentappointmentstatus and the cancel reasonCancels the visit but leaves the slot unavailable
Check eligibilitythe patient's insurance eligibility statusBooks a new patient visit on inactive coverage
Book a new patientappointment type and departmentUses a follow up type that is too short for a new patient

Example test

Describe the job. Review the checks before anything runs.

Brief · plain EnglishIllustrative

Dr. Sample is out Wednesday. Move every Wednesday visit to the next open slot of the same length that week, check eligibility for each new patient, and cancel nothing without a reason code.
Drafted test · reviewDrafting
  1. 01No Wednesday appointments left for Dr. Sample
  2. 02No two patients share a slot on Thursday
  3. 03Each moved visit keeps its appointment type
  4. 04Every new patient visit has an eligibility check run this week
  5. 05The canceled Friday consult has a cancel reason

fig. 2 · illustrative brief and drafted checks

Failures you can inject

Make it a bad day on purpose.

effectThe booking call fails because another user just booked the slotfires before the handler · state untouched · same result every run

Evidence

StatusIncluded in the closed beta, like every world in the catalog. Apply and tell us the workflow you want to test.Known limitations