Prior Authorization & Eligibility Verification

Prior Auth & Eligibility Verification Services

• Process optimization
• Coverage, eligibility and benefits verification
• Preparation and submission of all required paperwork
• Expert completion of appropriate criteria sheets and forms
• Follow up on pre-auth requests 
• Patient account updates

According to a 2020 survey released by the American Medical Association, 94% of physicians report care delays due to an insurance company’s prior authorization requirements. 

Benefits

• Save time and money on reduced administrative burdens
• Manage and review multiple orders with 24/7 access to a secured, online dashboard 
• Easily track the status of all your submissions through the online portal 
• Avoid delivering costly services resulting in denials or incomplete or no reimbursement

Intuitive Dashboards and Real-time Analytics 

Powered by our proprietary Advantum Ai platform, Advantum Health does the work for you. Advantum Ai connects to any EHR or PM system to pull in calendar and order requests. We then submit electronically or via fax all information to the payer to begin the process. Our easy-to-use dashboards provide you clear analytics of your orders from submission through approval status. 

Advantum Ai Platform Features 

• Integrates with any EHR or PM system
• Bulk imports and exports of orders and status results 
• 24/7 secure portal access to consolidated dashboards for status tracking
• Centralized location for maintaining patient information and documentation
• Submit orders to payers via an EDI 278 transaction, fax or online 
• Customizable user roles and security access 
• Easily manage patient appointments with color-coded calendar views and status results