q Auth
Capabilities
- Reduce authorization processing time with customizable queues and streamlined workflows
- Request multiple services simultaneously
- Create, maintain, and automatically send required letters to members and providers
- Access procedure specific clinical guidelines
- Customize rule-based selection and auto-approval criteria
Benefits
- Customizable workflows meet each client’s unique needs
- Easily facilitate health plan audits
- Effortlessly achieve regulatory compliance
- Perform real-time utilization management
Utilization Management System
Enables rule based selection and auto-approval criteria for:
Services Rendered
Outpatient Hospital Setting
Inpatient Hospital Setting
Provider Quality