Best Prior Authorization Products
Currently, we have identified 24 digital solutions in the prior authorization space, many of which integrate with leading systems like Epic, Cerner, Meditech, Allscripts, McKesson and others. This means you can choose a prior authorization solution that meets the unique needs of your healthcare organization and patients.
What’s more, our verified client data for these solutions shows that dozens of health systems are already using prior authorization solutions. This demonstrates the growing acceptance of this technology among healthcare providers as a means of improving patient outcomes and reducing healthcare costs.
Prior authorization is a crucial management process in healthcare that ensures healthcare providers receive approval from payers before delivering specific services, preventing lost revenue and reducing expenses. AVIA Marketplace offers a range of digital health solutions and software designed to streamline the prior authorization process, enabling healthcare providers to focus on delivering quality care to their patients.
On this page, you'll find a curated list of prior authorization solutions, software, and tools that automate prior authorization requests, streamline workflows, and reduce administrative burdens. Our solutions help healthcare organizations to save time and resources, avoid denials and delays, and improve overall revenue cycle management.
At AVIA Marketplace, we're committed to providing the information and resources needed to make informed decisions about the right prior authorization software, solutions, and tools to implement in your healthcare system. Browse our listings and learn more about how our solutions can help streamline your revenue cycle and improve your bottom line. Search AVIA Marketplace for the top prior authorization solutions from leading vendors in the industry.
Direct is the leading EHR-integrated cost transparency solution. The solution brings real-time, medical and pharmacy benefit cost information, coverage restrictions, and alternatives into native EHR workflows. Giving providers cost information at the point-of-care enables data-driven and evidence-based decisions that help patients get the care they need at prices they can afford.
Features and Benefits:
- Access to lower-cost alternatives increases care adherence and patient health and satisfaction
- Select care/medications that do not require prior authorization
- Reduced pharmacy/PBM/payer call-backs, prior authorization denials, and other uncompensated provider hassles
- Uses native order workflows, is easy to implement
EMRs supported | Epic, Cerner, Athenahealth |
Solutions | Prescription Prior Authorization Platforms, Clinical Decision Support Systems |
Keywords | prescription decision support, real time prescription benefit, real time benefit check +4 more |
Categories | Prior Authorization, Care Plans, Clinical Decision Support +1 more |
EMRs supported | None provided |
Solutions | Medical Benefit Prior Authorization Tools |
Keywords | automation, intelligent automation, prior authorization +3 more |
Categories | Prior Authorization, Revenue Cycle Management |
EMRs supported | None provided |
Solutions | Medical Benefit Prior Authorization Tools |
Keywords | None provided |
Categories | Revenue Cycle Management, Prior Authorization |
Olive’s End-to-End Prior Authorization solution seamlessly connects to provider EHR systems, accelerates the prior authorization process, and empowers healthcare providers with an efficient prior authorization workflow management system, supplemented by automation and augmented by AI. Olive recommends a succinct clinical bundle to improve authorization approvals leading to increased revenue and patient throughput. Additionally, Olive includes comprehensive medical necessity criteria for tens of thousands of procedures to help you understand payer requirements and include better supporting clinical documentation, resulting in more first-pass prior auth approvals and reducing prior auth denials.
EMRs supported | Epic, Cerner, Athenahealth +1 more |
Solutions | Medical Benefit Prior Authorization Tools |
Keywords | prior authorization, revenue cycle management, operational effiency +2 more |
Categories | Prior Authorization, Revenue Cycle Management |
EMRs supported | Epic, Cerner, Allscripts +2 more |
Solutions | Referral Management Software Solutions, Medical Benefit Prior Authorization Tools |
Keywords | epic training, digital front door, productivity +2 more |
Categories | Referral Management, Prior Authorization, Revenue Cycle Management +1 more |
EMRs supported | Epic, NextGen, athena +13 more |
Solutions | Revenue Cycle Management Services, Patient Financial Experience Tools, Medical Benefit Prior Authorization Tools |
Keywords | rcm, revenue cycle management, billing +3 more |
Categories | Patient Billing & Payment, Prior Authorization, Revenue Cycle Management |
EMRs supported | None provided |
Solutions | Medical Benefit Prior Authorization Tools, Referral Management Software Solutions |
Keywords | None provided |
Categories | Revenue Cycle Management, Prior Authorization, Care Transitions +1 more |
EMRs supported | None provided |
Solutions | Medical Benefit Prior Authorization Tools, Revenue Cycle Management Services |
Keywords | None provided |
Categories | Revenue Cycle Management, Prior Authorization |
EMRs supported | None provided |
Solutions | Medical Benefit Prior Authorization Tools, Revenue Cycle Management Services |
Keywords | None provided |
Categories | Prior Authorization, Revenue Cycle Management |
EMRs supported | Epic |
Solutions | Medical Benefit Prior Authorization Tools |
Keywords | prior authorization, clinical decision support, patient payments +2 more |
Categories | Revenue Cycle Management, Prior Authorization |
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AVIA Marketplace offers a product grid that is a comprehensive resource for health care buyers in their research journey. The grid showcases products from leading vendors and ranks them based on match scores and market presence. This approach ensures that the products listed are not only relevant to the buyer's needs but also established in the market. With AVIA Marketplace's product grid, health care buyers can make informed decisions and select products that meet their specific requirements.
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