Service

Connected Authorization Services

Optimize authorization management by leveraging expert staffing, intelligent automation, and broad connectivity.

 

StreamlineMedical Authorizations

  • Deploy pre-authorization experts who use intelligent technology to help handle routine authorizations rapidly and work complex cases by exception, improving the efficiency and accuracy of medical authorizations
  • Easily manage pre-certification for inpatient and outpatient procedures and therapies, and inpatient retrospective authorization after receipt of Medicaid eligibility
  • Accelerate data sharing with payers through direct payer connections and avoid timely filing delays
  • Enable a smoother, more precise workflow with technology that automates manual tasks, including the identification of authorization requirements, authorization submission, and status inquiries.
  • Build and scale capabilities to help prevent unnecessary care delays, support accurate reimbursement, and reduce the cost of medical-authorization efforts
  • Gauge performance with detailed assessments and month-over-month reports that monitor key performance indicators and spot improvement opportunities early

Drive Efficient, Accurate, and Timely Authorizations

  • Flexible Staffing Model

    • Our trained specialists monitor routine authorizations using intelligent automation.
    • For complex cases, they provide expert oversight, insight, and support at all points to drive success.
    • Team members average more than 10 years of clinical and authorization experience, and our clinicians (nurses or allied health) have specialized education in authorization requirements and commercial screening tools. 
  • Intelligent Automation

    • Authorization technology integrates with an HIS to automate routine tasks and flag potential issues for our staff.
    • Helps reduce the time and effort required to complete an average prior authorization
    • Identifies accounts requiring further intervention, allowing our expert staff to work by exception
  • Broad Payer Connectivity

    • Broad Payer Connectivity

Our outcomes

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