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As prior authorization volumes continue to rise and as specialty drugs create additional clinical complexities, health plans, pharmacy benefit managers (PBMs), and third-party administrators (TPAs) are challenged to adapt while maintaining or improving operational and clinical efficiencies. PAHub is a HITRUST certified solution that puts the tools at your fingertips to streamline and control all clinical, compliance, and administrative aspects of prior authorization at the point-of-care to improve compliance and reduce turn-around times and costs.
By leveraging the latest technologies for data mining, data analytics, content management, and advanced decision support trees, PAHub enables customers to automate the end-to-end prior authorization process.
We’re committed to helping you succeed in a digital world. Our cloud-based platform is your one-stop-shop for digital engagement, combining communication and adherence solutions with digital marketing and reputation management.
Prior authorization (prior auth, or PA) is a management process used by insurance companies to determine if a prescribed product or service will be covered. This means if the product or service will be paid for in full or in part. This process can be used for certain medications, procedures, or services before they are given to the patient.
Visiting a physician and not finding him there or waiting for too long to see the physician are things that frustrate a patient. While not showing up for visit or arriving late for a scheduled check-up are things that do not go well for practice or physician. So, in order to avoid any such situations, it’s better to schedule an appointment at the medical
One of the many tasks that your front desk staff does is verify a patient’s eligibility and insurance benefits. We understand how hard it must be for your staff to juggle calling every patient’s insurance company and answering phone calls about scheduling appointments at the same time. Phew! I’m tired just thinking about it.
To avoid significant loss of revenue, a healthcare organization or a medical billing company should take care of one of their most important tasks known as AR follow up . Many face a lot of challenges while dealing with their AR follow up in Medical billing. Therefore, to avoid undue worries and a significant loss in ROI,it is essential for them ..
Everything You Should Know About The Patient Collection Process Interested in learning about the patient collection process? Then keep reading ! Wondering how to improve your patient collection process? Here at AuthorizeRX, we work hard to improve this process for our clients. So what does it take to boost patient collections? You may have tried..
Credentialing is an essential part of becoming a trusted healthcare provider by the endless list of insurance company venders out there in the marketplace. Given that credentialing is a precursor to contracting, it can be incredibly important given many patients refuse to visit a physician not in their insurer’s network. Providers want to expand...
AuthorizeRx uses a flexible, variable schedule of fees to provide affordable services along with Superior customer services. Our success is dependent upon the success of our clients and we strive to leave no claim unpaid. Clients can easily justify the cost through increased recovery and lower overhead.
Highest Level Billing Service
Making Practice More Profiable
Dramatically Improving Collections
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