Your Prior Authorization Bottleneck, Cleared

Get faster prior auth approvals using artificial intelligence and automation with exception handling by specialists.

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Prior Authorization Is Still A Pain

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In a recent survey, AMA reported a staggering 86% of providers felt that the mechanics of administering prior authorization processing is a burden, 91% felt that it caused patient care delays and 82% reported that the number of prior authorizations required for medical services increased over the last 5 years.

While the healthcare industry is working towards implementing standard electronic prior authorization processing guidelines, it is no secret that in the foreseeable future, providers will still find the process of obtaining prior auth approvals burdensome causing patient care frustrations, delays and abandonment. 

Prior Authorizations Accelerated by AI and Automation

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Our cloud-based, AI-powered prior authorization software provides a complete patient access solution for healthcare providers by leveraging the latest machine learning, artificial intelligence and automation technology with exception handling by our experienced billing specialists.

Requests requiring a prior authorization are initiated electronically to the appropriate payer. Complex requests and exceptions are handled by our team of certified specialists to provide you with complete coverage of your prior authorization claim.

Status notifications are communicated in real-time through automated follow-ups by robotic process automation (RPA). Our RPA bots repeatedly check requests under review for status change updates.

We provide you with complete coverage of your prior authorization requests with a 98+% accuracy and 99.5% adherence to turnaround times. No more auth requests getting kicked back to you due to lack of information. We take care of it for you.

Key Prior Authorization Software Features

Provider
Integration

Submit and update your prior authorization requests directly from your local EHR/EMR using either an API or HL7 based bi-directional integration.

Authorization
Determination Engine

Determine if your request requires a prior authorization using the Authorization Determination Engine, built using machine learning.

Unified
Workflow Experience

Perform all prior authorization related functions on a unified web portal, built to offer you an intuitive and seamless experience.

Automated
Authorization Follow-up

Keep up with the status of an initiated prior authorization claim using automated authorization follow-up.

Analytics
and Reporting

Obtain full transparency into your prior authorization process using detailed and robust analytics and reporting.

Alerts
and Notifications

Receive constant alerts and notifications pertaining your prior authorization claim, which includes all updates and payer communications

Prior Authorization Calculator

Prior Authorization Calculator

Use our simple calculator to determine how much you can save with our AI-Powered Prior Authorization Software.

How We Do It

Infinx Prior Auth Workflow Jan 2020
1

1

Is Prior Authorization Required?

Our AI determines if a prior authorization is required or not. If an authorization is not required, you are notified immediately so you can schedule the procedure.
2

2

Initiate and Submit Request

If authorization is required for the procedure, the claim is electronically submitted to the payer. Complex claims and manual submissions are handled by our certified specialists.
3

3

RPA Automated Status Checks

Automated follow-up with payers and real-time status updates provided by our RPA bots to help your staff schedule procedures on time.
4

4

System Updated

Once prior authorization is obtained, the authorization approval package is automatically sent back to your system.
1

Is Prior Authorization Required?

Our AI determines if a prior authorization is required or not. If an authorization is not required, you are notified immediately so you can schedule the procedure.

2

Initiate and Submit Request

If authorization is required for the procedure, the claim is electronically submitted to the payer. Complex claims and manual submissions are handled by our certified specialists.

3

RPA Automated Status Checks

Automated follow-up with payers and real-time status updates provided by our RPA bots to help your staff schedule procedures on time.

4

System Updated

Once prior authorization is obtained, the authorization approval package is automatically sent back to your system.

Let Infinx AI help you get faster prior authorization approvals.

Schedule a demo today to learn more about our AI-powered prior authorization software.

Speed Up Prior Authorizations Using Artificial Intelligence & Automation

Accelerate your approvals, collect more revenue, and improve the patient experience with the latest artificial intelligence, machine learning and robotic process automation technology.

Schedule A Demo