Whether or not you’re a health care provider or only a affected person, likelihood is you’ve possible heard the time period ‘prior authorization’ earlier than. Prior authorization (PA) is the method of a healthcare supplier asking your insurance coverage plan payer permission to conduct a sure process and ensure it’s coated beneath the insurance coverage.
Historically, this course of is manually accomplished by somebody who checks affected person insurance coverage particulars, will get medical charts, and faxes over a previous authorization request. Then, they manually comply with up with the supplier to confirm the standing of the request. This may be each a tedious course of for the worker and a pricey course of for the employer. Then, if the request must be appealed, the method have to be restarted from the start with acceptable documentation and an enchantment letter.
Happily, Orbit AI provides to save lots of you each money and time when finishing prior authorization. Orbit will mechanically retrieve affected person knowledge, affirm the need of a PA, full the mandatory paperwork, after which submit the PA request by means of the insurance coverage portal. From there, it additionally intermittently checks the standing of the PA request with the insurance coverage firm to maintain your group updated.
Upon PA approval, Orbit AI may even replace the medical information mechanically to make sure a seamless transition from approval to affected person care. In complete, Orbit AI solely takes lower than 5 occasions to carry out prior authorization processes, scale back the turnaround time by 55%, and release your workers to proceed serving to your sufferers. To release your workers whereas staying on prime of prior authorization course of automation, Orbit AI is simply the device for you.
Supply: Orbit Healthcare
