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Verata Health Platform

Verata Health Platform

Verata Health Platform

By Verata Health

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Overview


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About

DESCRIPTION
Manual and spot solutions fall short of solving the prior authorization problem. Verata Health is the only digital technology solution that automates the entire end-to-end bundle creation process. Creating better prior authorizations that reduce denials and peer-to-peer reviews.
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CATEGORIES

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KEYWORDS

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CLIENTS OVERVIEW
Key Clients
Clients Your Size
USED BY
0 People
1 Organization
EHR integration

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

In Epic App Orchard:

Description

Verata Health removes prior authorization barriers, so patients get the right care at the right time. A physician-led company trusted by providers, health systems, and payers across the country, Verata’s AI-powered platform is obsoleting the fax machine with Frictionless Prior Authorization®. Seamlessly attached to your EMR, Verata automatically initiates prior authorization requests, retrieves payer rules and tracks every prior authorization to completion, so your patients get better, faster care.
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Use cases

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:
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.
Diversity, equity, and inclusion practices

DEI is short for diversity, equity, and inclusion. Learn more about DEI practices.
Product Design

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Product Delivery

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Company information

Founded in 2017

About AVIA Connect

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AVIA Connect is a product of AVIA, the nation's leading digital transformation partner for healthcare organizations.

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