Prior Authorization Management

AccuReg Provides Hospitals Solutions to Federal Price Transparency Regulations | PR Newswire | 7/14/2020

… suite utilizes automation and artificial intelligence to improve revenue capture and the patient financial experience. By combining an exception-based workflow, a top-ranked QA rules engine, intelligent eligibility and benefit validation and complete prior authorization management , AccuReg predicts and prevents denial-causing issues at the front of the revenue cycle where cost is significantly lower than the traditional resource-draining back-end approach. AccuReg also helps hospitals achieve government …

AccuReg Appoints Industry Veteran as New CIO and Chief Product Officer | PR Newswire | 3/5/2020

… suite utilizes automation and artificial intelligence to improve revenue capture and the patient financial experience. By combining an exception-based workflow, a continuous learning QA rules engine, intelligent eligibility and benefit validation and complete prior authorization management , AccuReg predicts and prevents denial-causing issues at the front of the revenue cycle where cost is significantly lower than the traditional resource-draining back-end approach. AccuReg also helps hospitals achieve the …

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Senior Manager Quality Engineer - East Coast Telecommute - UnitedHealth Group - Basking Ridge, NJ | 11/2/2019

… to telecommute as you take on some tough challenges. Primary Responsibilities: The Manager IT Quality Consultant is responsible for overseeing all testing of the solution, in this instance, Medicaid applications involving provider, claims and prior authorization management for the State of Pennsylvania The Test Manager will be responsible for facilitating State involvement in the testing effort, executing testing in a timely manner, resolving defects identified during testing, and providing dashboard …

Agadia Systems, Inc. Announces Agreement with MedOne for use of Agadia’s Prior Authorization Solution, PAHub. | PR Newswire | 5/6/2019

… the nation’s leading Health Plans and PBMs, and MedOne, a national, full-service pharmacy benefit solution, have announced the signing of an agreement for MedOne to utilize PAHub, Agadia’s HITRUST certified, end-to-end Prior Authorization management solution. “MedOne is known for taking an outside-the-box approach when it comes to pharmacy benefit management. With the addition of PAHub, MedOne’s clients and members will benefit from robust clinical and …

Diplomat Pharmacy’s (DPLO) CEO Phil Hagerman on Q3 2017 Results - Earnings Call Transcript | Seeking Alpha | 11/7/2017

… Pharmaceutical Services. NPS expands our footprint deeper into direct contracts with midsize and small payers, and brings Diplomat proprietary claim software. By expanding our existing capabilities in the highly customized services, like formulary management, prior authorization management and rebate aggregation, we can build additional high quality patient centric services across the specialty industry and increase our ability to contract directly with health plans. Our strategy to target small to mid …