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Connected Authorization Services

Optimize medical authorization management by leveraging expert staffing, intelligent automation, and broad connectivity.

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Streamlinemedical authorization management

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Technology and expertise to help improve authorization efficiency

Deploy pre-authorization experts who use intelligent technology to help handle routine authorizations rapidly and work complex cases by exception, optimize the efficiency and accuracy of medical authorizations. Easily manage pre-certification for inpatient and outpatient procedures and therapies, and inpatient retrospective authorization after receipt of Medicaid eligbility. 

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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. Use our medical authorization management solution to accelerate data sharing with payers through direct payer connections and avoid timely filing delays.

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Medical authorization management solutions to help improve accuracy

Build and scale capabilities to help prevent unnecessary care delays, support accurate reimbursement, and reduce the cost of medical-authorization efforts.

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Monthly reporting to assess performance

Gauge performance with detailed assessments and month-over-month reports that monitor key performance indicators and spot improvement opportunities early.

What’s Included in Connected Authorization Services

  • Flexible staffing model

    • Trained specialists monitor routine authorizations using intelligent automation
    • Get expert oversight, insight, and support on complex cases to drive success
    • Team members average more than 10 years of clinical an authorization experience
    • Clinicians (nurses or allied health) have specialized education in authorization requirements and commercial screening tools

  • Intelligent automation

    • Authorization technology integrates with an HIS
    • Automates route tasks
    • Flags potential issues for our staff
    • Helps reduce time and effort required to complete an average prior auth
    • Identifies accounts that require further intervention
    • Allows our expert staff to work by exception

  • Broad payer connectivity

    • Share information seamlessly with payers
    • Existing connectivity with hundreds of direct payer connections
    • Allow authorizations to be processed more quickly

Our outcomes

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e-Book

Steps to Smarter Healthcare Prior Authorization

e-Book

Steps to Smarter Healthcare Prior Authorization

Healthcare organizations are burning resources on prior authorization. Learn how automation and skilled partners can reduce costs and improve patient care.

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