Best Prior Authorization Software - Page 3
Prior authorization software assists healthcare providers and health insurance companies in the medical care authorization process. These insurance companies require healthcare clinicians and providers to receive preapproval for certain procedures, tests, or medications. The care plan must be evaluated to assess the medical necessity and cost-of-care ramifications before authorization. If the provider fails to get prior authorization, the insurer will not cover the cost of treatment, and the patient may have to bear the cost.
The healthcare provider is usually responsible for initiating prior authorization by submitting a request form to a patient’s insurance provider. This helps determine if prior approval is required for a given procedure and to submit the actual prior authorization paperwork to the insurance company for review and approval. Obtaining prior authorization is an administrative burden for any medical practice, and this software helps streamline the process.
Prior authorization software enables EHR software or patient relationship management (PRM) software to automatically determine if prior approval is required, electronically submit the prior authorization directly to the insurance company, and actively monitor the status of the submission. Prior authorization software can be paired with patient intake software and revenue cycle management software.
To qualify for inclusion in the Prior Authorization category, a product must:
Best Prior Authorization Software At A Glance
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- Overview
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PAHub is a web-based solution designed to automate the end-to-end management of Electronic Prior Authorization (ePA) across all healthcare services, all lines of business, and all channels.
- Overview
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Patient Advisor ePA+ is an advanced electronic prior authorization solution developed by DrFirst to streamline the medication approval process within the e-prescribing workflow. By integrating seamles
3,141 Twitter followers
- Overview
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Practice Mate by Office Ally is a comprehensive practice management solution used by over 25,000 healthcare organizations. It simplifies revenue cycle management and assists in HIPAA-compliant recordk
- Hospital & Health Care
- 86% Small-Business
- 7% Enterprise
654 Twitter followers
- Overview
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Prior Authorizations by maxRTE Simplify and automate the prior authorization process. maxRTE’s Prior Authorizations solution helps healthcare organizations reduce delays, denials, and administrative
- Overview
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Quality Care Products offers a Prior Authorization Software designed to streamline the medication approval process for healthcare providers. This solution significantly reduces the time required for p
- Overview
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Prior authorization, minus the frustration. Rhyme connects payers and providers intelligently inside the prior authorization workflow, reclaiming the time lost on back-and-forth efforts and returning
- Overview
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SamaCare is a cloud-based platform designed to streamline the prior authorization (PA process for medical benefit drugs, enabling healthcare providers to submit, track, and manage PAs efficiently acro
- Overview
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careviso has built an innovative technology platform that makes healthcare more transparent, allowing patients to better understand the cost of their care. Our platform is a seamless, secured connect
34 Twitter followers
- Overview
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Surescripts' Prior Authorization solutions streamline the traditionally cumbersome medication prior authorization process by integrating automated workflows directly into electronic health records . T
4,194 Twitter followers
- Overview
- Seller Details
XIFIN is a health information technology company that leverages diagnostic information to improve the quality and economics of healthcare. The XIFIN technology platform facilitates connectivity and wo
780 Twitter followers
