ADM.6:1 - Problem frame

A handler is working on a particular request for an administrative condition. The relevant action, participant and intended time are known well enough to locate what is blocked. The handler may have a service instruction, prior decisions and evidence from the provider.

The obstacle belongs to a particular question. A missing identity result, an unresolved eligibility rule, an unavailable authorized decider and an unknown payment effect call for different work. They can occur in one case without becoming interchangeable reasons to “escalate”.

Resolution also has several possible stopping points. Finding the competent source creates an actionable request; receiving its answer may settle the condition; an authorized provider must still perform any resulting provision. The handler states which result is actually available.