Service

Connected Authorization Services

Optimize authorization management by leveraging expert staffing, intelligent automation, and broad connectivity.

 

StreamlineMedical Authorizations

  • Deploy pre-authorization experts who use intelligent technology to help handle routine authorizations rapidly and work complex cases by exception, improving the efficiency and accuracy of medical authorizations
  • Easily manage pre-certification for inpatient and outpatient procedures and therapies, and inpatient retrospective authorization after receipt of Medicaid eligibility
  • Accelerate data sharing with payers through direct payer connections and avoid timely filing delays
  • Enable a smoother, more precise workflow with technology that automates manual tasks, including the identification of authorization requirements, authorization submission, and status inquiries.
  • Build and scale capabilities to help prevent unnecessary care delays, support accurate reimbursement, and reduce the cost of medical-authorization efforts
  • Gauge performance with detailed assessments and month-over-month reports that monitor key performance indicators and spot improvement opportunities early

Drive Efficient, Accurate, and Timely Authorizations

  • Flexible Staffing Model

    • Our trained specialists monitor routine authorizations using intelligent automation.
    • For complex cases, they provide expert oversight, insight, and support at all points to drive success.
    • Team members average more than 10 years of clinical and authorization experience, and our clinicians (nurses or allied health) have specialized education in authorization requirements and commercial screening tools. 
  • Intelligent Automation

    • Authorization technology integrates with an HIS to automate routine tasks and flag potential issues for our staff.
    • Helps reduce the time and effort required to complete an average prior authorization
    • Identifies accounts requiring further intervention, allowing our expert staff to work by exception
  • Broad Payer Connectivity

    • Broad Payer Connectivity

Our outcomes

View all insights

PRODUCT SUPPORT

Need support for
this solution?

Join Community discussions

Find and share knowledge, exchange ideas, and collaborate with peers and Change Healthcare experts to drive your solutions to success.

Let’s start a conversation

We’re here to help you find out how this solution could benefit your organisation. Complete the quick form to the right, and someone will reach out to you soon.

Our experts will:

  • Discuss your individual use case and business needs
  • Explain our features, benefits, and services
  • Show how this solution can help achieve your goals

Want more information? Start here.

Thank You

We appreciate your interest in Change Healthcare. A member of our team will contact you to better understand your needs and discuss potential solutions.

Together, we are accelerating the journey toward improved lives and healthier communities.