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Clearance Authorization

Clearance Authorization

Clearance Authorization

By Change Healthcare

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Overview


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About

DESCRIPTION
A pre-service authorization and medical necessity solution for healthcare providers that want to automate authorization workflows, reduce denials and bad debt risk, and increase efficiency.
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KEYWORDS

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CLIENTS OVERVIEW
Key Clients
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USED BY
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1 Organization
EHR integration

Integrations:

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EMR Integration & Relevant Hardware:

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EMRs Supported:

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Hardware Compatibility:

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Description

Help Accelerate Prior Authorization: - Automate manual processes by determining if a pre-authorization is required and on file with the payer. - Create a consistent workflow for manual intervention of pre-authorization follow-up to ensure mission-critical steps are not overlooked. - Help reduce losses due to write-offs by automating Medical Necessity checking as part of registration, and perform clinical code auditing for Medicare outpatient services. - Monitor payers electronically for pending pre-authorization decisions with results automatically posted to your health information system. - Help reduce authorization-related claim denials by accessing an audit trail where the authorization verification was obtained and results were stored. - Create Advanced Beneficiary Notices with expected charges for the patient which allows them to accept liability prior to care delivery.
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Use cases

Description

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Differentiators

Differentiators vs EHR Functionality:

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Differentiators vs Competitors:

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Company information

Founded in 2007

48.0M total equity funding

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