Authorization Automation

Authorization is a critical step in a patient's care journey from the acute setting to a post- acute care facility requiring coordination between multiple organizations. The process ensures that the care being disbursed is medically justified and transfer of the patient to the post-acute care setting happens in a timely manner.


Step 1

Submit patient authorizations

Step 2

Upload data & documentation on payor website

Step 3

Enter pending authorization to EHR

Step 4

Monitor responses from payor website

Step 5

Upload authorization to EHR

Post-acute care authorizations are time-consuming due to the need for coordination with the payor and the hospitals and often delay care when performed manually by the clinical staff. Authorization automation enables post-acute care organizations to keep their care teams focused on their main job role and also reduce the burden of performing administrative tasks manually on the staff. It ensures that the information required for the transfer of the patient to the post-acute care facility is exchanged in a quick & efficient manner


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Benefits and ROI

  • Boost & streamline the organization's intake process through swift, timely processing of prior authorizations
  • Ensure timely delivery of care with the help of a seamless, error-free authorization process
  • Reduce the burden of a huge load of tedious, mundane, and repetitive tasks with the help of digital assistant
  • Empower staff with automatic notifications of approvals & denials to prepare better for incoming patient needs
  • Improve staff satisfaction by enabling them to focus on their primary job roles and working on top of their licenses
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Watch this workflow in action

See how trained robots perform tasks, faster and more efficiently, between systems just like a human user would. Everything you see in the video is performed with no manual intervention.

Simplified authorization process

Authorization automation helps simplify the information exchange required for the transfer of a patient to a post-acute care facility between the acute facility, the payor, and the post-acute care organization. It ensures quick & efficient exchange of information required to determine whether a patient meets the required medical criteria for the approval of care.

The authorization automation solution completely removes the need for care teams to focus on a compliance obligated task crucial to the post-acute care organization's operations. With a lot of the coordination, data entry tasks, and information exchange required for authorization taken care of by AI & RPA powered digital assistants, it drastically improves the intake process and staff satisfaction. Trained digital assistants compile patient records for authorization submission and upload relevant supporting documentation onto the payor websites.

The automation solution also monitors all responses from the payor and updates the EHR with approvals & denials. Authorization automation helps save hundreds of hours on manual administrative tasks and the timely & efficient information exchange ensures that the best care is made available to the patient in the shortest timeline possible.

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See how this workflow can deliver tangible ROI to your organization.
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