Whether you’re a doctor or just a patient, chances are you’ve likely heard the term 'prior authorization’ before. Prior authorization (PA) is the process of a healthcare provider asking your insurance plan payer permission to conduct a certain procedure and make sure it’s covered under the insurance.
Traditionally, this process is manually done by someone who checks patient insurance details, gets medical charts, and faxes over a prior authorization request. Then, they manually follow up with the provider to verify the status of the request. This can be both a tedious process for the employee and a costly process for the employer. Then, if the request needs to be appealed, the process must be restarted from the beginning with appropriate documentation and an appeal letter.
Fortunately, Orbit AI offers to save you both time and money when completing prior authorization. Orbit will automatically retrieve patient data, confirm the necessity of a PA, complete the necessary documents, and then submit the PA request through the insurance portal. From there, it also intermittently checks the status of the PA request with the insurance company to keep your team up to date.
Upon PA approval, Orbit AI can even update the medical records automatically to ensure a seamless transition from approval to patient care. In total, Orbit AI only takes less than 5 times to perform prior authorization processes, reduce the turnaround time by 55%, and free up your staff to continue helping your patients. To free up your staff while staying on top of prior authorization process automation, Orbit AI is just the tool for you.
Source: Orbit Healthcare
