Intake
Send the shortest possible version of the blocked decision.
Name the move, why waiting is costly now, and a work email. Do not include patient records or sensitive material.
What a useful opening message sounds like:
"We need to decide whether to move three named accounts into active access review this quarter. Brand, HEOR, medical, and legal all need one shared brief. The blocker is that the current case is spread across email, slides, and separate evidence notes."