MarketplaceListingsCustom ActivityPrior Authorization Determination

Prior Authorization Determination

by Myndshft Inc.

0

4

Prior Authorization Determination

by Myndshft Inc.

0

Custom Activity

4

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Summary

Summary


Overview

Overview

An automated prior authorization precheck leveraging Myndshft’s proprietary payer rules engine to assess the submission for errors and/or missing information. Validates the prior authorization request against the payer’s appropriate medical policy, evaluates the likely decision outcome and provides the end-user with supporting information for how the evaluation was made.

API keys are required to leverage this activity. Please reach out to Myndshft through info@myndshft.com for API Keys and contracting.

Features

Features

  • Ensures prior authorization requests are submitted accurately and completely
  • Evaluates the likely outcome of the request, enabling the end-user to make any necessary corrections before submission
  • Reduces turnaround time and the risk of rework

Additional Information

Additional Information

Dependencies


Code Language

C#, Visual Basic

Runtime

Windows Legacy (.Net Framework 4.6.1)

Publisher

Myndshft Inc.

Visit Publisher's Page

Trusted Source

Technical

Version

1.0

Updated

01 Mar 2022

Certification

Silver Certified

Tags

Prior Authorization
PA Determination
PA Testing
PA submission test

Support

Email: help@myndshft.com

Link: https://myndshfthelp.zendesk.com/hc/en-us

Severity Level: Urgent Description: Major system failure with no workaround Response Time: Business Hours - 30 minutes via email After Hours - 1 hour via email Severity Level: High Description: Important Functions are unusable Response Time: Business Hours - 30 minutes via email After Hours - 2 hour via email Severity Level: Medium Description: System failure under unusual circumstances or minor features do not work with a low impact workaround Response Time: Business Hours - 3 hour via email

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