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Activity that integrates and appends on your existing workflow to verify eligibility and benefits in real-time with over 700 payers, providing the Prior Authorization Requirement for the service. Obtain if PA is required based on specific plans under each payer based on the CPT or HCPC code you provide. In addition, obtain the method of submission, submission details, and the PDF guideline which states the requirement.

  

API keys are required to leverage this activity. 

Please reach out to Myndshft through info@myndshft.com for API Keys and contracting.

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.

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Visual Basic

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Integrates and appends your existing workflow to verify eligibility and benefits in real-time with over 600 payers, providing the prior authorization requirement for the CPT/HCPC code you provide based on the specific plan and payer. Additionally, obtain the method of submission, submission details, and the PDF guideline which states the requirement.

  

  

API keys are required to leverage this activity. 

Please reach out to Myndshft through info@myndshft.com for API Keys and contracting.

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

Prior Authorization Requirements