What’s included
Flexible staffing model
Get expert oversight, insight and support on complex cases to drive success
Our trained specialists monitor routine authorizations using intelligent automation and each of our team members has more than 10 years of clinical authorization experience. Also, our clinicians have specialized education in authorization requirements and commercial screening tools.
Intelligent automation
Automate routine tasks
Our authorization technology integrates with a health information system (HIS) and flags potential issues for staff. It helps reduce time and effort required to complete an average prior authorization and identifies accounts that require further intervention.
Broad payer connectivity
Shares information seamlessly with payers
Use your existing connectivity with hundreds of direct payer connections so that your payer authorizations can be processed more quickly.
Key benefits
Streamline medical authorization management.
Technology and expertise to help improve authorization efficiency
Position pre-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 medical 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.
Medical authorization management solutions
Build and scale capabilities that will help prevent unnecessary care delays, ensure precise reimbursement and reduce the cost of medical authorization efforts.
Strategic reporting to assess performance
Evaluate your performance with detailed assessments, and regular reports that track key performance indicators and identify areas for improvement.
Industry insights
A research study evaluating the intersection of military life and government healthcare.
See the vital role that access to VA care plays in meeting our Veterans' unique health needs.
See how Optum Serve and Fusion Hill explored the lived healthcare experiences of Veterans, military service members, and their families.
Complementary solutions
Service
Eligibility and Enrollment Services
A customizable solution for providers to help find coverage for self-pay patients.
Service
Patient Access Contact Center Services
Strategic patient access and call center services for hospitals, health systems and large physician groups.
Solution suite
Patient Financial Clearance
Our pre-service clearance insurance verification solution accelerates reimbursement, reduces denials and optimizes workflows.