Pre-Authorization Service

Prior authorization involves a healthcare provider or hospital seeking approval from the health insurance company before undertaking a specific medical procedure on your behalf or prescribing a particular medication.

Healthcare professionals often find themselves burdened with administrative tasks which detract them from patient care. Delays in pre-authorization decisions from insurance providers make this process more complicated.
Automating the prior authorization process is crucial for enhancing efficiency as it facilitates prompt access to essential care for patients, and minimizes administrative obstacles.

The process of sharing information for prior authorization involves various steps, primarily requiring the patient's physician to submit vital documents and reports for review and pre-certification.
Key data include the patient's health status, the doctor's prescription instructions, and any lab results containing the patient's medical history and current treatment needs.

Automated prior authorization system allows healthcare facilities to boost the number of authorizations completed with limited time and staff, and less hassle.
It helps healthcare staff to give more time to patient care and their treatments instead of managing clerical work. Prior authorization automation also improves synchronization between health providers and insurers.

Traditionally, obtaining pre authorization can extend over days, usually stretching into weeks for final approvals.

Insurance companies mandate prior authorization to safeguard the appropriate utilization of their services. It enhances the efficiency of the healthcare ecosystem by minimizing resource wastage.