Volume Doubled with an Actual
Reduction in Staff
PAHub™ Case Study: Prior Authorization Automation
The Client
A health plan specializing in State Medicaid business with stringent regulatory requirements was using a manual process to address requests for authorizations, accessing multiple systems to gather decision information and to disseminate results across the organization.
Challenge/Business Need
- Complete documentation
- Faster processing (24-hour turn-around)
- Ability to handle new business
- Easier reporting to state agencies
- Share the information across the enterprise
- Support a dispersed work force
Solution Provided
- PAHub™ Prior Authorization solution
- Paperless processing
- Full documentation and audit support
- Integrated faxing service
- Custom reporting support
- Custom work queues
- Web-based software support for dispersed work force
- Enterprise integration to share request status across the organization
Benefits/Results
- Volume doubled with an actual reduction in staff
- Processing speed increased more than 133%
- Paper case documentation eliminated
- State reporting prep time reduced by more than 50%
- 100% compliance with state processing requirement using custom queues
- Customer Service access to request data via their standard system and process
- Staff access the system from multiple locations via the web
Learn more about PAHub™ software or contact us to discuss how we can help you.
Prior Authorization
Simplify Prior Authorization management of Prescription Drugs, Medical Services and Durable Medical Equipment with our easy-to-use web-based solution.
Physician Portal
Seamlessly integrates with our Prior Authorization software to initiate authorization requests, renewals and appeals, allow coverage criteria questions to be answered and check previous requests.
ePrescribing
Use our web-based ePrescribing software solution for point-of-care electronic Prior Authorizations for drugs, medical procedures, lab tests and DME.
