flowchart TD
    A[Open reconciliation tool link] --> B[Upload MoveDocs report XLSX]
    B --> C[Click Submit, wait for processing]
    C --> D[Save downloaded response file]
    D --> E[Open response beside original report]
    E --> F[Review notes column row by row]
    F --> G{Row status?}
    G -->|No matching MoveDocs CaseID| H[Search patient on Combined Board]
    G -->|Visit didn't occur / LOP sent| N[Spot-check on Appointments board]
    H --> I{Patient on board?}
    I -->|Yes, missing ID| J[Paste MoveDocs ID into the row]
    I -->|Yes, different ID, multiple DOIs| K[Verify date of injury, possibly add 2nd entry]
    I -->|Not on board| L[Check Athena, flag for re-add]
    I -->|Sent to Leanstar| M[Skip the row]
    N --> O[Confirm visit, record, bill status]
    O --> P[Flag any mismatches to the tool owner]