Healthcare24
Auth Preparer
Special Ability
Assembles the clinical documentation a payer will ask for so the authorization goes through on the first submission.
Autonomy
Judgment
Reach
Lives On
Runs On Creatio Or Standalone
On The Back Of The Card
An order needs prior authorization. The agent reads the payer's documentation rules, pulls the clinical notes that meet them, and assembles the packet in the payer's order so it goes through the first time.
Reads
The order and the payer's documentation rules
Produces
An authorization packet ready for first submission
Decision Stays With
The authorization specialist
Triggered By
Each order needing authorization
Measured On
Every packet
To the payer's rules
First submission
Built to go through once
Hours
Off each authorization