Manage Authorization Requests in a Provider’s Office

Health Cloud’s Utilization Management ensures ease of access to information and smoother collaboration on authorization requests between payers, providers, and the Electronic Health Record (EHR) systems. This connected platform, with its highly refined OmniScript process workflows and uninterrupted information exchange, enhances payers' and providers' ability to expedite the authorization request process. Providers can now deliver timely and optimal medical care to patients by gathering necessary clinical information from the EHR system and submitting authorization requests to the payer system.

• Authorization Request Process Flow in a Provider’s Office
  Utilization Management’s solution for providers gathers necessary clinical information from the Electronic Health Record (EHR) system and establishes a connection with the clearing house or payer system. With this seamless integration, provider users can efficiently create and submit authorization requests and deliver timely care to patients.
• Create and Submit Authorization Requests to Payers
  As an authorization coordinator at the provider’s office, you play a central role in handling the end-to-end authorization process for a patient’s services. But, manually gathering information from the EHR system and passing it on to the payer system can be time consuming and result in unintended errors. Utilization Management’s centralized, guided workflow for request submission, with seamless integration to EHR and payer systems, helps you to easily create and submit error-free requests.
• Inquire About the Status of an Authorization Request
  As an authorization coordinator at the provider’s office, your responsibility doesn’t end with submitting a request to the payer. Utilization Management’s OmniStudio-based guided workflow for the Inquiry process is integrated with payer systems, so you can quickly get updates on submitted requests that help you make informed decisions about a patient’s treatment.