Veradigm (Allscripts) Devoted Health Prior Authorization Automation

Seamless Integration with Veradigm (Allscripts) EMRs

Klivira connects directly with your Veradigm EMR environment, whether you're operating on TouchWorks EHR, Professional EHR, or Sunrise. Leveraging the Veradigm Developer Program and FHIR R4 APIs, our platform accesses essential patient data (e.g., Patient, Encounter, Coverage, ServiceRequest, MedicationRequest, DocumentReference, Practitioner, Condition, Observation) to pre-populate authorization requests. For in-workflow access, Klivira supports SMART App Launch, enabling clinicians to initiate PA directly from the Veradigm clinical UI with patient context.

Optimizing Devoted Health Prior Authorizations for Medicare Advantage

Devoted Health, as a Medicare Advantage-focused insurer, has specific prior authorization requirements that can vary by plan and service. Klivira's platform is engineered to navigate these complexities. We connect to Devoted Health through various channels, including direct portal automation and X12 278 transactions, to submit requests and track statuses efficiently. This ensures that authorizations for high-cost services, specialty medications, and advanced imaging are processed with precision, reducing manual intervention and accelerating approvals.

Automating Critical PA Workflows within Veradigm

Our automation streamlines the entire prior authorization lifecycle directly within your Veradigm EMR. Klivira extracts necessary clinical documentation from the Patient Chart and Clinical Documentation/Notes, populates payer-specific forms, and submits them to Devoted Health. Once a determination is received, the status and relevant correspondence are written back to the appropriate sections of the Veradigm chart, such as Tasks/Worklists or Clinical Documentation, ensuring a complete audit trail and eliminating manual updates.

Addressing Product-Line Specifics: TouchWorks, Professional EHR, and Sunrise

The Veradigm portfolio includes distinct product lines like TouchWorks EHR, Professional EHR, and Sunrise. Klivira's integration is designed to accommodate these variations, ensuring consistent prior authorization automation regardless of your specific Veradigm EMR. Our approach considers the unique chart anatomy and integration surfaces (e.g., HL7 v2 for Sunrise, FHIR for modern ambulatory lines) to provide a tailored, effective solution for your organization.

Key Benefits of Klivira for Veradigm (Allscripts) and Devoted Health PA

• Automated extraction of clinical data from Veradigm EMRs for Devoted Health requests.
• Real-time status updates and write-back of PA determinations into your Veradigm patient chart.
• Reduced manual administrative tasks for Medicare Advantage prior authorizations.
• Improved turnaround times for Devoted Health approvals.
• Enhanced data accuracy and compliance for all submitted authorizations.
• Support for various Veradigm product lines, including TouchWorks, Professional EHR, and Sunrise.