Informatics In Context in Boston, MA offers a transformative standards-based solution for payers, automating the prior authorization process in real-time using the ACA mandated EDI 278 standard. Their cloud-based technology enables payers to achieve touchless adjudication, significantly reducing time and cost per transaction while providing instant actionable responses to providers.
By fully automating the PA process based on payer policies and clinical guidelines, Informatics In Context's solution ensures high quality care for patients, cost-savings for the plan, and clinically appropriate service delivery by participating providers. Their provider portal streamlines eligibility checks, referrals, and prior authorization requests, promoting high utilization and standardizing workflow across all payers in the network.
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