An integrated medical review and connectivity solution for payers and providers that enables the automation of prior authorizations requiring a medical review within existing workflows.
Reduce administrative burden by automating the prior-authorization process and eliminating redundant medical reviews.
Increase payer/provider collaboration by removing costly barriers, providing quicker authorization approvals and providing transparency into medical review and authorization criteria.
Streamline the medical review process by integrating into existing workflows.
Gain access to most current clinical guidance through a cloud-based content platform.
Reduce IT burden with an integrated solution that doesn’t require new hardware or software.
Get up and running quickly with an integrated solution and network of alliance partners.
The ‘Intelligent’ 278: Creating a Standard for Shared Decision Support
Modifying the HIPAA Healthcare Service Review X12-278 transaction standard could create a new tool to automate prior authorizations.