Evolved Digital Health prior authorization automation

The Challenge of Prior Authorization

Prior authorization is a necessary step in the healthcare process, but it can be cumbersome and prone to errors. Manual prior authorization processes can lead to delays, denials, and frustrated patients. By automating prior authorization workflows, specialty practices can reduce the administrative burden and improve patient outcomes.

Benefits of Prior Authorization Automation

Prior authorization automation can help specialty practices reduce denials, improve patient satisfaction, and increase staff productivity. By automating prior authorization workflows, practices can also reduce the risk of errors and improve compliance with regulatory requirements. Additionally, prior authorization automation can help practices track and analyze prior authorization data, providing valuable insights into the prior authorization process.

Common prior auth workflows we automate

• Initial prior authorization requests
• Prior authorization renewals
• Prior authorization appeals
• Eligibility checks
• Benefits investigations

Integration approach

Klivira's Evolved Digital Health integration uses Evolved APIs to automate prior authorization workflows, ensuring seamless integration with the EHR system. This approach enables real-time data exchange and automated workflows, reducing the administrative burden and improving patient outcomes.

Implementation and Support

Klivira's implementation team works closely with specialty practices to ensure a smooth integration with Evolved Digital Health. Our support team is available to assist with any questions or issues that may arise, providing timely and effective solutions to ensure minimal disruption to practice operations.

Security and Compliance

Klivira's Evolved Digital Health integration is designed with security and compliance in mind. We ensure that all data exchange is secure and compliant with regulatory requirements, including HIPAA and ePHI. Practices should discuss compliance considerations with their compliance team to ensure that all regulatory requirements are met.

Results and ROI

By automating prior authorization workflows, specialty practices can achieve significant returns on investment, including reduced administrative burdens, improved patient satisfaction, and increased revenue cycle efficiency. Klivira's Evolved Digital Health integration can help practices achieve these results and improve their overall financial performance.