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Match Score
Clients
EHR integrations
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Jump to:
Match Score
Clients
EHR integrations
Product attributes
Solutions
Use cases
Differentiators
Keywords
Media
Company details
Categories
Digital Prior Authorization
Digital Prior Authorization

0 review

Verata Health Platform
Verata Health Platform

0 review

Match score

Select which hospital or health system you work at and see a personalized match score.

Clients

Select which hospital or health system you work at and see the client list

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Access +/or revenue cycle

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Allscripts, Allscripts/Eclipsys, athena, Athenahealth, Cerner, eClinicalWorks, Epic, GE, Meditech, NextGen

Hardware Compatibility:

Desktop

Product Attributes

badge_Covid-19

Covid-19

badge_Pediatric

Pediatric

badge_Covid-19

Covid-19

badge_Pediatric

Pediatric

Solutions

Medical Benefit Prior Authorization Tools

Artificial Intelligence Platforms

Revenue Cycle Management Services

Use Cases

Description:

None provided

COVID-19 use cases:

None provided

Pediatric use cases:

None provided

Users:

None provided

Description:
Our AI-driven platform maintains a national database of payer policies, streamlines the intake of health information, matches patient data to payer rules, automatically completes payer forms, submits prior authorization requests directly to payers, and tracks every prior authorization to completion. Implementation timeline ranges from 1 week (Athena) to 90 days (Epic, large enterprise systems).
COVID-19 use cases:
Verata Health is a digital technology solution that streamlines the prior authorization process and uses artificial intelligence to match EMR data with payer rules to instantly tell you if a prior authorization request was approved. Prior authorization teams and staff can access the Verata Health platform remotely and work on prior authorizations from home. Heath care systems can leverage the platform as they begin to ramp up elective procedures in the coming months.
Pediatric use cases:
Verata Health supports prior authorizations for pediatric patients similarly to prior authorizations for adults.
Users:
Verata Health is used by hospital systems' and specialty practices' revenue cycle teams across the country to automate the prior authorization process. The platform is seamlessly connected to the EMR to automatically prepare and track prior authorizations.

Differentiators

Differentiators vs Internal Options:

None provided

Differentiators vs Competitors:

None provided

Differentiators vs Internal Options:
Existing EHRs provide workflow tools and work lists, but the manual work of completing a prior authorization remains the responsibility of clinical and revenue cycle staff. Through its use of artificial intelligence, Verata automates time consuming, tedious and error prone manual processes associated with prior authorization. In addition to significantly reducing the time associated with completing and submitting prior authorization requests, use of the Verata system will result in significantly reduced turn-around time, first-pass auth denials, peer-to-peer consults, claim denials and write-offs, while at the same time increasing throughput and revenue.
Differentiators vs Competitors:
Verata is the only end-to-end AI solution that reads and interprets clinical documentation as a human would, compares it with applicable payer policies to ensure that all rules have been satisfied, completes payer forms and submits a clean and accurate authorization request. Existing competitors rely on robotic process automation of a few steps of the prior authorization process (e.g. status checks, determining whether a prior auth is required, etc.), but the hard work of collecting clinical documentation, recognizing medical necessity rules, completing payer forms and submitting prior authorizations remains manual. Some competitors offer manual outsourced services for prior authorization, but these services still rely on manual, human preparation and remain error prone and expensive.

Keywords

Categories

Images

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Videos

No videos provided

No videos provided

Downloads

No content provided

No content provided

Alternatives

Company Details

Founded in 1970

Founded in 2012

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