Prior Authorization Submission

by Parashift AG

824

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

by UiPath

<100

CMS-1500 is a standard medical claims form for Medicare and Medicaid billing. This model can auto-detect over 80 fields, including payer info, patient details, and claim specifics.

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 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 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 Myndshft Inc.

<100

An automated precheck of the prior authorization request for errors and missing information, assessing the likely outcome of the request prior to submission.

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

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 Myndshft Inc.

<100

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

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™

Our solution focuses on providing easy-to-integrate and extract data out of CMS forms frequently used to support Medicare and Medicaid clients by reducing the manual effort involved in this process.

by Parashift AG

824

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

by UiPath

<100

CMS-1500 is a standard medical claims form for Medicare and Medicaid billing. This model can auto-detect over 80 fields, including payer info, patient details, and claim specifics.

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 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.