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.