by Omega Healthcare
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Activity that instantly identifies if prior authorization is required for Payers across multiple CPT/HCPC codes, and determines the optimal submission route between EDI/278, fax, and payer portals
Inspects the input text for entities that contain personally identifiable information (PII) and returns information about them using Azure Text Analytics service.
This component assists in patient search matching using the Epic USCDI on FHIR data API.
Reduce the number of patient statements sent to the wrong address by verifying the address BEFORE the statement is mailed. This process is beneficial whenever there is something to mail.
UiPath custom activity for real time NPI lookup through the API provided by National Plan & Provider Enumeration System and bring provider list results(Payer claims, referral provider, credentialing)
UiPath Accelerator for real time Provider lookup for Quality Payment Plan participation through the API provided by CMS and bring provider's QPP participation details for validation & processing
UiPath Provider Sanction Validation accelerator enables download and quick search for individuals / entities against the downloaded database from OIG (Office of Inspector General, Health US) portal.
Accurately identify active coverage and payer-specific benefits for patients presenting as self-pay.
A Natural Language Processing based Accelarator to extracts medical phrases and terms from patients charts to recommend ICD-10 Diagnosis codes, also help for quality checking of existing coded
This Accelerator is the real time source for latest procedure code(CPT) information from Medicare Coverage Database (MCD) for national & local coverage determination.
OpenConnect has developed a prototype of an end to end workflow utilizing UiPath Attended RPA
Verify eligibility and benefits in real-time with over 93% of covered lives. Instantly assess whether patients have benefits and are eligible for the service/treatment they are trying to obtain.