Prior Authorization Determination

by Internal Labs

1.8k

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)

by Rainbird Technologies Limited

<100

Give your robots the ability to make complex, human-like, decisions with Rainbird’s decision API.

by Parashift AG

824

Sends a document to the Parashift Document Center for automated meta data extraction

by Internal Labs

<100

Solution for verifying vendor details against W9 and Public data sources.

by Myndshft Inc.

<100

Instantly identifies the prior authorization form(s) and submission requirements for a given payer, plan, then submits the completed prior authorization via the optimal submission route.

by Myndshft Inc.

<100

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

by UiPath

<100

The preauthorization forms intake use case accelerator automates paper Prior Authorization intake forms from email, STP or shared drive, classifies the documents, extracts required information.

by Myndshft Inc.

<100

Accurately identify active coverage and payer-specific benefits for patients presenting as self-pay.

by Myndshft Inc.

<100

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.

by Myndshft Inc.

<100

Automated real-time calculation of patient financial responsibility for the service, accounting for previous same/similar services, copays, deductibles, coinsurance, OOP, and contracted rates.

by Amitech Solutions

<100

Significantly reduce the time required to validate and record pre-certification status and cut the frequency of claim denials and associated revenue losses with FlintRC™

by Internal Labs

1.6k

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.

by Internal Labs

1.8k

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)

by Rainbird Technologies Limited

<100

Give your robots the ability to make complex, human-like, decisions with Rainbird’s decision API.

by Parashift AG

824

Sends a document to the Parashift Document Center for automated meta data extraction

by Internal Labs

<100

Solution for verifying vendor details against W9 and Public data sources.