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Description
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Use cases
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Infinx - Prior Auth
Infinx - Prior Auth

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Categories

Solutions

Description

Product Description:

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

About Infinx:

Infinx Healthcare provides tech-enabled patient access and revenue cycle management solutions for providers, hospitals and health systems. Combining technology like artificial intelligence, automation and workforce management, with exception handling by our skilled patient access, clinical, coding, billing and compliance specialists, we help clients preserve and capture more reimbursements and expand operating margins. 

Product Description:

Simplify Utilization Management between providers, members, and care management. Affinitē UM leverages Intelligent Automation to streamline administrative actions so your team can operate at the top of their licensure.

About Vital Data Technology, LLC:

Vital Data Technology empowers health plans to continuously improve outcomes, accelerate compliance and control costs. Vital Data’s Affinitē™ platform unifies formerly siloed data and leverages artificial intelligence and machine learning to drive actionable interventions. The platform’s modules include: Affinitē™ PlanLink™ for real-time CareFlow™ automation and case management for stakeholders throughout the care continuum; Affinitē™ ProviderLink™ for prioritized, actionable patient interventions; MyVitalData™ for mobile app member engagement; Affinitē™ Quality for optimization of quality management and HEDIS® performance, and Affinitē™ Risk for Hierarchical Condition Category (HCC) risk adjustment.

Vital Data Technology is trusted by health plans nationwide across Medicare Advantage, Medicare, Medicaid, commercial and self-funded adult and pediatric populations and has received NCQA HEDIS® Certification for five consecutive years. For more information visit: www.VitalDataTech.com or call (866) 482-8399.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

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Use Cases

Description:

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.

Pediatric use cases:

None provided

Users:

Providers, Administrators

Description:

Affinitē was able to identify members at risk of experiencing pre-term birth at 20 weeks of gestation.  This enabled earlier intervention by Care Management and reduced the risk of complication and lowered overall costs.

In this group, over 10% of the members identified had costs associated with pre-term birth of over $500,000.

Pediatric use cases:

None provided

Users:

Proactively identify members in your population via AI-modeling in order to intervene earlier in the treatment process and positively impact their health outcomes.

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided
None provided

Differentiators

Differentiators vs EHR Functionality:

Prior Authorizations Accelerated by AI and Automation

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.

Differentiators vs Competitors:

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

Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

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Company Details

Founded in 1979

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