Complete Prior Authorization Coverage

Get faster approvals using AI-driven technology with exception handling by specialists.

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The Challenge

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Prior Authorization Approval

While the original intention set by utilization review, the mechanics of administering prior authorizations has created a cumbersome process that includes frequent denials and patient care issues. The “2019 AMA Prior Authorization Physician Survey” notes that over 90% of physicians report that patient care is negatively affected and often results in delays in patient care, including patient care abandonment.

Prior Authorizations Accelerated by AI and Automation

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Our cloud-based Prior Authorization Software solution leverages AI and automation, with exception handling by our experienced prior authorization and billing specialists, to provide you with a complete end-to-end prior authorization solution.

We provide you with complete coverage of your prior authorization claims with a 98+% accuracy and 99.5% adherence to turnaround times.

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. Our robotic process automation bots repeatedly check requests under review for status change updates.

Infinx 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 Prior Authorization Software.

How We Do It

Infinx Prior Auth Workflow Jan 2020
1

1

Is Authorization Required?

Our software 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 prior authorization specialists.
3

3

Automated Status Checks

Automated follow-up with payers and real-time status updates provided 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 Authorization Required?

Our software 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 prior authorization specialists.

3

Automated Status Checks

Automated follow-up with payers and real-time status updates provided 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 help you get faster approvals.

Contact us today to learn more about our Prior Authorization Software.

Speed Up Prior Authorizations Using Automation and Artificial Intelligence

Accelerate your approvals, collect more revenue, and improve the patient experience

Schedule a Demo