How do automatic status updates in Infinx’s Prior Authorization Software work?

Once the prior authorization requests are submitted, our software constantly follows up with payers using automation that provides real-time status updates as soon as a payer approves. Once the authorization is approved, the software provides clients with an authorization reference number and will update the portal and send a notification immediately.

The solution continuously evaluates the follow-up against the scheduled date of service and turnaround risk. It then intelligently hands off the claim to our prior authorization specialists to follow-up with the payer if necessary to ensure an authorization is acquired before the date of service.

Every prior authorization case you submit will be assigned a “Progress” status. The “Progress” status allows you to track the case’s lifecycle while being processed by Infinx. As you know, a prior authorization case can contain multiple CPT codes and procedures. Our Infinx Prior Authorization Software assigns procedure-level statuses to give you a granular insight into the prior authorization.

Here is a document that explains what each case-level “Progress” status and procedure-level status means.