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.
Industry insights
![Patient Access Starts Before the Appointment [E-Book]](/content/dam/optum-dam/images/business/insights/baby-laying-down-on-father-1080x720.jpg)
E-book
New research reveals how access, transparency and digital tools shape patient satisfaction long before care begins.
![Navigating the Next Era of Medicaid [White Paper]](/content/dam/optum-dam/images/business/insights/man-submitting-payment-card-on-tablet-1080x720.jpg)
White paper
Major Medicaid policy changes are coming fast. Learn how smarter tools, better data and strong partnerships can reduce risk and support patients.
E-book
Healthcare organizations face challenges with prior authorization. Learn how automation can help save resources and improve patient care.
Complementary solutions
Service
Eligibility and Enrollment Services
This customizable solution for providers can help find coverage for self-pay patients.
Service
Patient Access Contact Center Services
Discover our strategic patient access and call center services for hospitals, health systems and large physician groups.
Solution suite
Patient Financial Clearance
Streamline your financial clearance process, increase collections and reduce front-end denials through optimized and automated workflows.