A Lack of Automation
How much are you losing in your patient access workflow? Doctors spend an estimated $83,000 per year, per doctor on fixing prior authorization issues. Processing patient data, referrals, and prior authorization requirements is complicated and confusing. That’s a recipe for lost revenue and unsatisfied patients.
Our Prior Authorization Software is a cloud-based solution driven by AI and automation that helps you get ahead of the revenue cycle problem, by quickly authorizing and confirming every procedure rendered and can be billed with near certainty to its accuracy and propensity to collect.
AI Driven Patient Access Solutions
Our Prior Authorization Software leverages AI and automation, with exception handling by our certified specialists to preserve and increase revenue by streamlining the prior authorization process.
Improve your patient scheduling experience with the Authorization Determination Engine, using AI, machine learning and an extensive comprehensive data set that provides you with a real-time decision whether a prior authorization is required or not.
If required, claims requiring a prior authorization are submitted electronically to the appropriate payer, using a unified interface. Complex claims and exceptions are handled by our team of trained specialists to ensure complete coverage of your prior authorization claim.
Automated follow-up using robotic process automation (RPA) repeatedly checks requests with payers that are under review and provides real-time status updates to help your staff schedule procedures on time.
Our Software Includes:
Authorization Determination Engine
Determining if a case requires a prior authorization shouldn’t be hard. That’s why we’ve created the Authorization Determination Engine giving you a real-time determination if a prior authorization is required or not. This process can cut as much as 30% of your workload just by reaching a decision ahead of time.
Our cloud-based solution is driven by AI and automation, with exception handling by our certified specialists. We help preserve and increase revenue by streamlining the prior authorization process to ensure a reduction of appointment rescheduling/cancellations and increasing timely and accurate approvals.
Insurance Eligibility & Verification
Our automated, real-time electronic insurance eligibility and benefits verification module conducts insurance verifications, eligibility, and benefits checks in seconds for all your incoming patients, and connects to thousands of payors nationwide.
Patient Pay Estimation
Our patient pay estimation module will provide accurate patient responsibility estimations in real-time, allowing you to inform and educate each patient about their financial responsibility.
Propensity to Pay
Our propensity to pay module will leverage our machine learning and AI capabilities to analyze a patient’s ability to pay based on a propensity to pay score. The propensity to pay module will allow providers to prioritize their collections time and energy.
Integrates with all leading EHR/EMR and PMS systems.
Automate your prior authorization workflow, with AI-driven software providing you with accurate real-time data.
Software + Specialists
One software platform optimized with artificial intelligence and exception handling by our certified specialists.
Real-time analytics and status reporting to track every case.
*during quality checks
Did you know that 92% of physicians report prior authorizations to have a negative impact on patient clinical outcomes? And 64% must wait at least one business day for prior authorization decisions. An estimated 30% of physicians wait three business days or longer. Let Infinx help you get to patient care faster.