How do automatic status updates in our 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 to intelligently hand-off the claim off to our prior authorization specialists if follow-up with the payer is 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 life cycle while being processed by Infinx. As you know, a prior authorization case can contain multiple CPT codes or 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.