MarketplaceListingsCustom ActivityPrior Authorization Requirements

Prior Authorization Requirements

by Myndshft Inc.

0

16

Prior Authorization Requirements

by Myndshft Inc.

0

Custom Activity

16

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Summary

Summary


Overview

Overview

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.

Features

Features

  1. Myndshft dynamically updates rules engines based on the actual responses and results from submitted prior authorizations.
  2. Leveraging advanced ML/AI models, accurate PA requirements for all specialty pharmacy and diagnostics procedures are continuously extracted and updated.
  3. Easily appends to the Member Eligibility/Benefit Verification Activity.

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

25 Jan 2022

Certification

Silver Certified

Tags

Prior Authorization
PA Requirements
Pre Auth
Pre-cert

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 Severity

Resources

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