How do we help streamline prior authorizations?

We blend automation, artificial intelligence, analytics, and specialists to give providers a comprehensive solution for the prior authorization workflow.

By streamlining the prior authorizations, we help increase timely approvals and reduce appointment rescheduling/cancellations.

Our new Authorization Determination Engine capability applies machine learning and artificial intelligence to provide a real-time decision whether a prior authorization is required or not for imaging procedures.

Our solution also enables requests requiring a prior authorization are submitted electronically where possible to the appropriate payer using a unified interface.

Complex requests and manual submissions are handled by our team of trained specialists to mandate complete coverage of all prior authorization requirements.

Our software communicates in real-time, repeatedly checks requests for cases that are under review for updates regarding status change, providing notifications, and automated authorization follow-up.

For more information, please visit our Prior Authorization Software page.