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Prior Authorization

Prior Authorization

Ability to obtain authorization from payers in advance of certain medical tests and procedures.

Prior Authorization: Products


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  • Covid-19
  • Pediatric
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20 products
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Default
# of Clients- low to high
# of Clients- high to low
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Highest rated

Filter products


EMR compatibility

Star rating

Product attributes
  • Covid-19
  • Pediatric
  • In Epic App Orchard
  • In Cerner App Gallery

Keywords

Solutions

Filter products by clients


Used by

EMR used

Organization size

Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence
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By Olive

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Olive is the first healthcare-specific artificial intelligence and process automation solution that streamlines repetitive, high-volume tasks using the systems and tools you already have in place.
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EMRs supported

None provided

SolutionsRobotic Process Automation Platforms, Medical Benefit Prior Authorization Tools
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By MCG Health

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With the MCG Cite AutoAuth, payers and providers can rely upon an automated, evidence-based system to facilitate the prior authorization process. The web-based interface, provided through the payer’s portal, makes it easy for a provider to document and support treatment requests.
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EMRs supported

None provided

SolutionsMedical Benefit Prior Authorization Tools
Keywords

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Categories Prior Authorization

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VALER is a cloud-based **Enterprise Authorization Platform** that streamlines and automates today's manual authorization workflows. VALER provides **ONE place to SUBMIT and VERIFY authorizations across all payors and all services types** (professional, facility, ancillary, medications, etc). VALER is the only solution that manages authorization submissions for both payor **FAX** and **web portal** based workflows. VALER provides enterprise-wide visibility on **real-time authorization status** and documentation to eliminate duplicate work and support the revenue cycle.
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Direct is the leading EHR-integrated cost transparency solution. The solution brings real-time, medical and pharmacy benefit cost information, coverage restrictions, and alternatives into native EHR workflows. Giving providers cost information at the point-of-care enables data-driven and evidence-based decisions that help patients get the care they need at prices they can afford.

Features and Benefits:

 - Access to lower-cost alternatives increases care adherence and patient health and satisfaction

 - Select care/medications that do not require prior authorization

 - Reduced pharmacy/PBM/payer call-backs, prior authorization denials, and other uncompensated provider hassles

 - Uses native order workflows, is easy to implement

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By Waystar

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There’s a wealth of powerful data within your EHR—you just need real-time insights and seamless integration to make it actionable. Our Prior Authorization solution, powered by Waystar’s Hubble: - Automatically verifies, initiates, statuses and retrieves comprehensive authorization details - Enables efficient, intelligent automation by initiating authorizations at twice the speed of manual processes - Integrates directly with all major HIS and PM systems - Provides end-to-end authorization platform, including authorizations submissions for unscheduled admissions, as well as auto-generating ABNs or Notice of Non-coverage forms for Medical Necessity - Adapts to constantly shifting payer rules and requirements - Was built and is maintained by our in-house team of experts
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EMRs supported

None provided

SolutionsMedical Benefit Prior Authorization Tools
Keywords

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Categories Prior Authorization

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