Our Prior Authorization Software for clinical labs and pathology groups blends automation, AI, analytics, and human domain expertise to offer a comprehensive solution to the prior authorization process. Our software leverages AI and automation, with exception handling by our certified prior authorization specialists to preserve and increase revenue by streamlining your prior authorization workflow.
Requests requiring a prior authorization are submitted electronically to the appropriate payer, using a unified interface. Complex requests and exceptions are handled by a team of trained specialists to ensure complete coverage of your prior authorization claim.
The prior authorization module includes seamless HL7 integration to your EHR/EMR or LIS, and a vast network of clearinghouse integrations, helping you maximize your collections while minimizing your denials.
Status notifications are communicated real-time through automated follow-up.