Prior Authorization

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September 28, 2021

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ZipRadio Podcast
September 8, 2021

Episode 13 – Access and Transmission of Healthcare Data

Our HealthTech experts discuss secure access and transmission of healthcare data

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Optimal decision making for authorization requests requires speed and accuracy, but reliance on paper-based processes works against both. Excellarate’s Prior Authorization solutions supports a streamlined authorization processing that drives smarter decision making, better customer service, and higher productivity.

By adding an integrated set of new capabilities to the authorization process, our solution…

  • Reduces duplicate submissions
  • Streamlines work processes
  • Eliminates manual and paper-based transactions
  • Consolidates all decision-making tasks, information, rules, and history
  • Distributes work to the right staff, providing a collaborative workbench
  • Promotes quality and consistency with integrated rules
  • Leverages the power of existing line-of-business and content-management system

For the customer awaiting a specialist or medical procedure, an authorization request carries a sense of urgency. But when decision makers must rely on manual tasks within error-prone, paper-based systems, the outcomes are often delayed and accompanied by customer frustration. Ultera® for Prior Authorization brings speed and efficiency to the decision-making process by eliminating the paper and presenting all case-related data and documents in a single user interface.

Excellarate’s Prior Authorization solutions transforms operations by leveraging the Appian platform to connect your existing systems and add advanced business capabilities. As a result, this provides…

  • Improved workload and case management
  • Rules to drive decisions and workflows
  • Easy-to-access audit trails and information consolidation for at-a-glance decision making
  • User interfaces specifically designed to meet prior authorization needs
  • Modern user interfaces that enhance the usability of existing line-of-business systems
  • Straight-through processing for selected cases, tasks, and requirements
  • Industry-leading Low-Code Development and Business Process Management
  • Reporting and dashboards
  • Task and requirements management
  • Distribution and management of work
  • History and Case Plans

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