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MarketplaceListingsActivityPrior Authorization Determination
Prior Authorization Determination

Prior Authorization Determination

by Myndshft Inc.

0

Activity

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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

License & Privacy

License Agreement

Privacy Terms

Technical

Version

1.0

Updated

Mar 1, 2022

Works with

Studio: 21.4 - 22.10

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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