CRNA completes and closes case No action necessary Has Attending Anesthesiologist signed case? YES NO Automated Process:Text message will be sent to Attending Anesthesiologist inidcating charts need signature Frequency of text messages to be determined but will occur for cases on the current date A link will appear in message to access Attending Signature Page A list of all closed cases for the current date with missing Attending Physician signatures will appear on the page Provider clicks checkboxes of all cases they wish to sign Click "SIGN" button to add electronic signature to all checked cases At end of invoice period, provider must submit invoice Are all cases signed for invoice period? YES NO Provider will receive a message indicating signatures are needed before invoice can be submitted There will be a section in the Portal that allows signatures on cases from any date Provider is directed to the section of the Portal that allows Provider to electronically sign cases Provider clicks on cases they wish to sign and electronic signature will be added to chart NO Provider submits invoice for invoice period Invoice is submitted successfully YES Are all cases signed for invoice period