Custom AI prior-auth automation software that integrates within existing workflows.
Custom AI prior-auth automation software that integrates within existing workflows. Features include creating and submitting prior-auths with payer-specific verbiage, auto-pulling provider/patient/diagnosis codes from EMR, tracking auths and monitoring payer timelines, auto-generating and submitting appeal letters, handling phone calls to payers for appeals, and storing evidence of prior-auth approval with confirmation numbers and documents.
Platforms, integrations, and language support vary by plan and region. Confirm final requirements with the vendor.
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Compliance claims are normalized from current vendor documentation and independently reviewed by SOTA2.