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Surescripts
SureScripts Prior Authorization
SureScripts Electronic Prior Authorization integrates with EHRs to allow prescribers to initiate and receive prior authorization requests and responses directly within their workflow. It supports both prospective and retrospective authorizations.
Product Overview
Security and Compliance Certifications: SOC 2 Type 2, HIPAA
SureScripts Electronic Prior Authorization integrates with EHRs to allow prescribers to initiate and receive prior authorization requests and responses directly within their workflow. It supports both prospective and retrospective authorizations.
Customers Served
Categories
Company Info
HQ Location
Arlington, Virginia
Founded
2001
Headcount
501-1000
Total Funding
Not available
Latest Round
Not available
Latest Round
Not available
Company Socials
Demos
Customers
Showcased Customers
See all (3)Integrations
See all (2)Arrive Health
Arrive Health
Company Info
Founded: 2003
Headcount: 51-200
Customers
Verified Customers: 11
Customers Served: Hospital / Health System, Ambulatory Practice
Product Overview
Security and Compliance Certifications: HIPAA
Arrive Health's Prior Authorization solution for providers facilitates real-time access to coverage, cost, and restriction information within the EHR. It automatically initiates the prior authorization process, and shows potential alternative treatment options in the EHR.
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Availity
Availity Essentials
Company Info
Founded: 2001
Headcount: 1001-5000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System, Health Plan
Product Overview
Security and Compliance Certifications: HITRUST CSF, HIPAA
Availity Essentials is an end-to-end RCM solution for providers. It offers a range of features aimed at improving efficiency and accuracy in tasks such as eligibility and benefits verification, claims management, and prior authorization.
Change Healthcare
Change Healthcare Prior Authorization
Company Info
Founded: 2007
Headcount: 5001-10000
Customers
Customers Served: Digital Health Provider, Ambulatory Practice, Hospital / Health System
Product Overview
Security and Compliance 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.
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