Preauthorization2019-04-17T12:49:49+00:00
Prior Authorization

Automate your prior authorization with software driven by artificial intelligence (AI) with exception handling by prior authorization specialists to preserve more revenue.

prior authorization
Slider

The Problem

Lack-of-automation-Infinx

Prior Authorization Approval

Doctors and staff spend way too much time on getting a prior authorization approved. More than nine in 10 physicians (91%) say that prior authorizations programs have a negative impact on patient clinical outcomes. Every week a medical practice completes an average of 31 prior authorization requirements per physician, which take the equivalent of nearly two business days (14.9 hours) of physician and staff time to complete.

Payors are constantly changing guidelines. The process is costly, very complex, creates scheduling nightmares, and takes time away from patient care. Getting approval is critical to preserving revenue through the registration process.

The Solution: Infinx Prior Authorization Software

Intelligent-Patient-Access-Infinx

ArtificiaI Intelligence to
Transform Your Prior Authorization

Our Infinx Prior Authorization Software blends automation, integration, cognition, and control to offer you an optimized workflow for your entire
patient access process. It leverages artificial intelligence (AI) and trained and certified specialists who can handle exceptions to provide a robust and seamless solution for pre-registration issues.

Optimize your workflow by leveraging our No Auth Required Decision Engine, an automated determination engine, using artificial intelligence and machine learning and a vast and comprehensive data set, that provides you with a real-time decision whether a preauthorization is required or not, reducing uncertainty and optimizing your scheduling.

Cases needing more in-depth attention are then forwarded to our global team of specialists who can process your prior authorization with speed and impeccable accuracy. Infinx Prior Authorization Software is built on iBridge, our comprehensive product platform with built-in critical modules that allow you to expand as you grow.

With Infinx Patient Access Software, you can schedule incoming patients quickly and accurately, confident in the knowledge that all the critical steps of patient access will be handled successfully before each patient walks in your door.

Lack-of-automation-Infinx

No Auth
Decision Engine

Determining if a case requires a prior authorization shouldn’t be hard. That’s why we’ve created our No Auth Decision Engine to give you immediate insight if a case needs a prior authorization, before spending the time to call a payer. This process can cut as much as 30% of your workload just by reaching a decision ahead of time.

Prior Authorization Features:

Real-Time Data
You Need Now

Automate your prior authorization. Get the data you need immediately to make good decisions about patient payment and scheduling.

No Auth Required
Decision Engine

Get immediate results to determine whether or not a prior authorization is required for services rendered.

Optimized
Scheduling

With real-time recommendations for no auth requirements and prior authorization ETA, you can schedule your patients with certainty.

Exception
Handling

Cases that cannot be automated are handled by experts who are deeply knowledgeable on payor guidelines and protocols.

Web Portal or
Seamless Integration

We give you options for to view information in a web portal view, or seamless HL7 integration with your existing EHR.

Extensive Payer and
Clearing House Integrations

Extensive Payer and Clearing House Integrations for a robust coverage for your insurance eligibility needs.

How We Do It

1

1

Pull Patient Information

The software pulls this information in via an HL7 message from the client’s system.
2

2

Prior Authorization Requirement

The software automatically interfaces with the payor system to check if there is a prior authorization requirement.
3

3

Prior Authorization Completed

The software automatically sorts the prior authorization by priority of urgency of care, and prepares and files paperwork through the secure EDI with the payor. The Infinx team handles any exceptions.
4

4

Sent to Client System

The prior authorization package is automatically sent back to the client's internal system, where it can be printed or emailed to the team or patient.
1

Pull Patient Information

The software pulls this information in via an HL7 message from the client’s system.

2

Prior Authorization Requirement

The software automatically interfaces with the payor system to check if there is a prior authorization requirement.

3

Prior Authorization Completed

The software automatically sorts the prior authorization by priority of urgency of care, and prepares and files paperwork through the secure EDI with the payor. The Infinx team handles any exceptions.

4

Sent to Client System

The prior authorization package is automatically sent back to the client's internal system, where it can be printed or emailed to the team or patient.