Surprisingly, many healthcare providers still rely on a manual paperwork process for authorization management. Unfortunately, this leads to confusion and miscommunication that isn’t good for patients or providers. It’s time to move from antiquated to automated.
Authorizations is Experian Health's integrated online service that facilitates the prior authorization management inquiry and submission processes. Inquiries are automated and take place behind the scenes without user intervention. The user is guided through the workflow, auto-filling all of the payer data and prompting only if manual intervention is required.
Authorizations taps into our Knowledgebase which stores and dynamically updates national payer prior authorization requirements. Clients can provide local/community rules and updates to be downloaded into the knowledgebase. Authorizations users automatically have access to the most up-to-date prior authorization requirement information in real-time.
With multiple connection types to payers, our system facilitates the prior authorization submission process. With the use of artificial intelligence (AI) the system will automatically bring users to the appropriate payer and connection type. Once submitted, Experian automates the back-end of the submission process 100%.
Increase operational efficiency
Inquiries and status monitoring take place without user intervention, only prompting users when their involvement is required.
Complete payer database
Our pre-authorization knowledgebase stores and dynamically updates payer prior authorization requirements. Your staff can check whether prior authorization is required for a particular procedure or service with ease.
Prevent costly denials
Automating 100% of prior authorization inquiries leads to faster reimbursement and decreased denials.
Frequently Asked Questions (FAQs)
Definitely! We understand the importance of minimizing disruption in your busy environment. That's why our prior authorization software seamlessly integrates with your existing Electronic Health Record (EHR) and billing systems. No need for a complete workflow overhaul – our solution can adapt to your existing processes, maximizing efficiency and minimizing the learning curve for your team members.
Imagine significantly reducing the manual tasks and errors associated with prior authorization solutions. Experian's automated solution streamlines the process with pre-checks and error detection, ensuring accuracy and completeness of submissions. This frees up valuable staff time you can dedicate to patient care, boosting overall productivity and significantly reducing the administrative burden on your healthcare team.
Patient data security is our top priority. Experian's prior authorization system adheres to the strictest industry standards, utilizing robust encryption technologies to safeguard sensitive patient information. Rest assured, your data is protected with the most advanced security measures available.
Costly claims denials due to administrative errors are a thing of the past with Experian's solution. Our prior authorization software ensures the accuracy and completeness of submissions by automatically checking with payers and venders to validate the authorization is on file. This proactive approach significantly reduces the risk of denials, saving you time, money, and frustration.
Experian's prior authorization system stays up-to-date with the latest regulations and requirements from insurance payers. Automatic updates ensure your team is always working with the most current information, eliminating the need for manual updates and streamlining the entire prior authorization process.
Let's discuss how you can automate 100% of prior authorization inquiries.
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