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Authorization Management Services

Improve authorization management by leveraging a technology-enabled workflow through expert staffing, unique technology, automation and broad payer connectivity. 

What’s included

Flexible staffing model

Get expert oversight, insight and support on complex cases to drive success

Our expert staff seamlessly handle all your authorization needs, from routine to complex. With more than 5 years of specialized experience, each team member is adept at implementing industry-best practices to provide efficient authorization management while meeting compliance with the latest regulations.

      Technology-enabled services

      Leverage a technology-enabled workflow

      Our authorization technology streamlines the initiation and management of authorization requests. It seamlessly integrates with your EHR, maintaining data accuracy and ensuring your EHR remains the trusted source of truth.

      Broad payer connectivity

      Seamlessly managing payer screening rules

      Our authorization determination screening rules library helps identify your payer authorization more readily. You can connect with over 350 payers and plans and complete the entire workflow process using our payer connections for authorization inquiries.

      Key benefits

      Streamline authorization management.

      Technology and expertise to help improve authorization efficiency

      Position prior authorization experts who use intelligent technology to quickly handle routine authorizations. Our experts can handle complex cases by exception, improving the efficiency and accuracy of prior authorizations.

      Advanced automation to support workflows

      Enable a smoother, more precise workflow with technology that automates manual tasks, including the identification of authorization requirements, authorization submission and status inquiries.

      Prior authorization management solutions

      Build and scale capabilities that will support on time care delivery and curb administrative burden of prior authorization efforts.

      Data-driven analytics

      Evaluate your performance with detailed assessments and month-over-month reports that track key performance indicators and identify areas for improvement.

      Related healthcare insights

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      Case study

      Utilizing patient access contact center

      See how a hospital streamlined scheduling for about 700 providers and strengthened customer service for over 65,000 patient calls monthly.

      Case study

      Streamline Medicaid eligibility and enrollment processes

      The rise of healthcare consumerism has prompted many hospitals and health systems to rethink their patient satisfaction strategies.

      E-book

      How the revenue cycle and leaders are evolving

      Find out how to shift your revenue cycle left, focusing on front-end revenue cycle management (RCM) capabilities.

      Improve your medical authorization management today

      Complementary solutions

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      A customizable solution for providers to help find coverage for self-pay patients.

      Patient Access Contact Center Services

      Strategic patient access and call center services for hospitals, health systems and large physician groups.

      Patient Financial Clearance

      Our pre-service clearance insurance verification solution accelerates reimbursement, reduces denials and optimizes workflows.