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Real-Time Automated Prior Authorization EDI 278| IIC

Real-time automated prior authorization via EDI 278: referral certification and eligibility for providers; 278 authorization engine for health plans

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Real-Time Automated Prior Authorization EDI 278| IIC | informaticsincontext.com Reviews
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Real-time automated prior authorization via EDI 278: referral certification and eligibility for providers; 278 authorization engine for health plans
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Real-Time Automated Prior Authorization EDI 278| IIC | informaticsincontext.com Reviews

https://informaticsincontext.com

Real-time automated prior authorization via EDI 278: referral certification and eligibility for providers; 278 authorization engine for health plans

INTERNAL PAGES

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1

Events - Informatics In Context

http://informaticsincontext.com/events

News & Articles. 278 Authorization Engine Architecture. America Health Insurance Plans 2015 Institute Conference. Date: June 3-5, 2015. Venue: Nashville, TN.

2

Career Opportunities - Informatics In Context

http://informaticsincontext.com/our-company/career-opportunities

News & Articles. 278 Authorization Engine Architecture. An Opportunity to Make a Difference. At Informatics In Context. If you are interested in a career at Informatics In Context. Please send your resume and cover letter to Informatics Careers.

3

News - Informatics In Context

http://informaticsincontext.com/news

News & Articles. 278 Authorization Engine Architecture. Pre-Claim Review Demonstration for Home Health Services, CMS. Source: Centers of Medicare and Medicaid August 4, 2016. Majority of Physicians Seeking Prior Authorization in EHRs. EHR Intelligence April 26, 2016. IIC Innovates the Prior Authorization Process for Payers and Providers via EDI 278. Source: Informatics In Context March 16, 2015. Cost-Effective Real-Time Prior Authorization: Automating Authorizations and Clinical Guidelines For Payers.

4

Real-Time EDI 278 Adjudication Engine for Prior Authorization

http://informaticsincontext.com/edi-engine-for-payers

News & Articles. 278 Authorization Engine Architecture. Payers: Real-Time Automated EDI 278 Authorization Engine For Health Plans. Real-Time EDI 278 Authorization Engine. Processes all prior authorization requests and responds in real-time automatically, following the mandated criteria for those submissions. Automated prior authorization responses are based on the payers’ specific policies and clinical guidelines. Clinical guidelines and rules are editable by the payer as they change. IIC’s solution addr...

5

Real-Time Automated Prior Authorization via EDI 278

http://informaticsincontext.com/prior-authorization-portal-for-providers

News & Articles. 278 Authorization Engine Architecture. Automated Prior Authorization Provider Portal or Integrated Web Service. Automated Real-time Prior Authorization, Referral, and Eligibility. Submitting PAs and sending electronic documents offers the same user workflow experience for all PA payer requests. Prior to submission, all PAs are reconciled against payer-specific policy guidelines to ensure compliance and reduce the possibility of denials. Provider portal (or integrated web service) is easy...

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