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Change Healthcare

Change Healthcare Prior Authorization

Change Healthcare's Clearance Authorization software is a comprehensive solution designed to streamline prior authorization workflows in healthcare settings. It automates the process of verifying if pre-authorizations are required and on file, directly submitting requests to integrated payers.

Product Overview

Security Certifications: HITRUST CSF, SOC 2 Type 2, PCI DSS
Change Healthcare's Clearance Authorization software is a comprehensive solution designed to streamline prior authorization workflows in healthcare settings. It automates the process of verifying if pre-authorizations are required and on file, directly submitting requests to integrated payers. The software incorporates real-time checking of clinical codes for Medicare compliance and helps minimize denials and financial losses associated with patient care pre-authorizations. Additionally, it includes tools to manage medical necessity checks and create Advanced Beneficiary Notices, ensuring that financial liability is communicated effectively to patients before service delivery.

Customers Served

Digital Health Provider
Ambulatory Practice
Hospital / Health System

Company Info

Founded
2007
Headcount
5001-10000
Total Funding
$48.0M
Latest Round
Series Unknown
Latest Round
08/02/2014

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