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DrChrono Fax & Paper Form Automation: Accelerating Prior Authorizations

Klivira enhances your DrChrono workflow with robust DrChrono fax & paper form automation, transforming manual PA submissions into an efficient, digital process.

For DrChrono users, especially in small ambulatory and concierge practices, managing prior authorizations often involves navigating complex, payer-specific fax and paper forms. This manual burden diverts staff from patient care and introduces delays, directly impacting revenue cycles and patient access to necessary services. Klivira addresses this by automating the creation and submission of these long-tail payer fax workflows directly from your DrChrono EHR.

Integrating Fax Automation with DrChrono

Klivira leverages the DrChrono API and FHIR endpoints to facilitate seamless integration for fax and paper form automation. This allows for data exchange without disrupting the native DrChrono user experience, ensuring that prior authorization requests can be initiated from familiar clinical workflows within the EHR.

Initiating Prior Authorizations from DrChrono

Within DrChrono, prior authorization requests for procedures or medications can be flagged directly from the patient's chart, order entry screens, or encounter notes. Klivira can then access relevant clinical documentation, patient demographics, and order details via the DrChrono API, initiating the automated form-filling process for payer-specific fax forms.

Data Exchange for Automated Form Filling

Klivira pulls essential patient data, diagnosis codes (ICD-10), procedure codes (CPT/HCPCS), and provider information directly from DrChrono's structured data fields. For payer-specific requirements not present in the EHR, Klivira's platform intelligently extracts necessary details from payer portals or previous authorization submissions, ensuring comprehensive and accurate form completion before automated fax submission.

Key Benefits for DrChrono Users

  • Reduced manual data entry for payer fax forms.
  • Accelerated turnaround times for prior authorization approvals.
  • Improved staff efficiency, reallocating time from administrative tasks to patient care.
  • Enhanced accuracy in form submission, minimizing denial risks.
  • Centralized tracking and audit trails for all faxed PA requests.

Addressing Long-Tail Payer Fax Workflows

While many payers are moving towards electronic prior authorization (ePA) via X12 278 or Da Vinci PAS, a significant number still mandate fax or proprietary PDF submissions, particularly for less common services or smaller health plans. Klivira specifically targets these long-tail payer fax workflows, ensuring that DrChrono users can automate even the most obstinate prior authorization processes that lack standard ePA channels.

Frequently asked questions

How does Klivira integrate with my existing DrChrono setup?

Klivira integrates through the DrChrono API and FHIR endpoints, allowing for secure, programmatic access to patient and clinical data. This enables the automated extraction of necessary information to populate prior authorization forms without requiring significant changes to your current DrChrono workflows.

Can Klivira handle all types of fax and paper forms for prior authorizations?

Klivira is designed to automate a broad spectrum of payer-specific fax and paper forms, especially those that fall into the 'long-tail' category where standard ePA solutions are not available. Our platform uses advanced OCR and intelligent form-filling to accurately complete and submit these documents.

What DrChrono data does Klivira access for prior authorizations?

Klivira accesses relevant patient demographics, clinical notes, diagnosis codes (ICD-10), procedure codes (CPT/HCPCS), and provider details directly from your DrChrono EHR. This data is used solely for the purpose of completing and submitting prior authorization requests.

How does Klivira ensure the security of PHI when automating fax submissions?

Klivira adheres to stringent security protocols and is HIPAA-compliant. All data exchanged with DrChrono and processed for fax submissions is encrypted in transit and at rest, ensuring the protection of ePHI throughout the prior authorization workflow.

Will Klivira notify me about the status of faxed prior authorizations?

Yes, Klivira provides a centralized dashboard to track the status of all submitted prior authorizations, including those sent via fax. While direct real-time updates from payer fax systems are not always feasible, our system monitors for responses and provides status updates as they become available, integrating with your DrChrono workflow where possible.

Related coverage

Other drchrono prior auth coverage

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