Requests have their urgency level set at creation. However, any request can be escalated to reflect higher urgency. Escalations can occur due to:

When a request is escalated, it is highlighted on the owner's worklist. If the request belongs to a department, it becomes the next item pulled into a user's worklist when pulling from the department's queue.

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* Access to Utilization Management * Permission to escalate requests

When an unassigned request is approaching turn around time and it needs to be assigned to an individual.When a patient's health needs change abruptly, requiring an urgent prior authorization or concurrent review.

* Follow your organization's policies and guidelines on request escalation and de-escalation. * Approved and Denied requests cannot be escalated.

A request can be escalated from either a worklist or from the request detail view

### WorklistClick the

icon on the row of the request to be escalated.

### Request Detail ViewClick the **Escalate** button at the upper right hand corner of the request view.

(_Optional)_ Enter information about the requestor.

Click **Escalate.**

(_Alternate)_ Click **Cancel** to return to the request details without initiating an escalation.

Information entered during the escalation process can be viewed by the individual handling the escalation.

### WorklistClick the .png>) icon on the row of the escalated request.

### Request Detail ViewClick the **Escalate** button at the upper right hand corner of the request view.

Click **Cancel** to close the escalation details.

### WorklistClick the .png>) icon on the row of the escalated request.

### Request Detail ViewClick the **Escalate** button at the upper right hand corner of the request view.

Click **De-escalate Request.**

_(Optional)_ Select a reason for the de-escalation.

Click **De-escalate.**

(_Alternate)_ Click **Cancel** to leave the dialog without de-escalating the request.