Simplify complex processes and improve payer-provider collaboration.
Simplify complex processes and improve payer-provider collaboration.
Connect to the most providers and HIT partners nationwide.
Improve collaboration with your provider network by automating core workflows.
Help ensure the right care at the right time by transforming the prior authorization process.
Reduce administrative waste by shifting edits early in the claim lifecycle.
Make clinical data work for you by streamlining acquisition, improving quality, and optimizing workflows.
Improve the quality of provider data for use across the enterprise.
Drive cost out of provider communications by digitizing paper correspondence.
Streamline workflows, reduce denials, and ensure accurate payments.
Streamline workflows, reduce denials, and ensure accurate payments.
Improve revenue cycle performance with fast and secure connections to payers nationwide.
Seamlessly deliver complete and accurate healthcare information.
Seamlessly deliver complete and accurate healthcare information.
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Manual prior authorization workflows are time consuming and costly for payer and provider organizations and can delay patient access to care. To increase provider visibility into which services require prior authorization and to bring automation to the submission and decision processes, the collaborators in this case study worked together to develop a more automated, self-service solution that allows providers to determine whether a given service requires prior authorization, submit a request, and receive a determination, all within their EMR workflow. The technology has improved efficiency, reduced denials, and increased revenue.