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Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
eviCore intelliPath
eviCore intelliPath

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Categories

Solutions

Description

Product Description:
eviCore intelliPath® is eviCore’s electronic prior authorization solution housing a suite of capabilities that simplify and automate the prior authorization process. These capabilities include connectivity, real-time decisions, case validation, and simplified clinical surveys. eviCore intelliPath® is deployed by provider organizations to automate and simplify submitting and tracking requests for prior authorization. eviCore intelliPath® streamlines operations within a single easy-to-use application that integrates with major electronic health record (EHR) vendors. Provider costs are reduced and decisions are communicated in real time, reducing delays.
About EviCore by Evernorth:

eviCore healthcare offers proven, diversified medical benefit management solutions that help clients reduce costs while increasing quality of care for their members. The company provides these solutions to managed care organizations and risk-bearing provider organizations serving commercial, Medicare and Medicaid populations. Powered by a team of specialized medical professional resources, extensive evidence-based guidelines and advanced technologies, the company supports clients by ensuring the right evidence-based care is delivered at the right time to the right patient at the right site of care.

Product Description:
These automated processes, which are part of the R1 Patient Experience, deliver accurate and complete authorizations directly within order and scheduling workflows to reduce administrative tasks, lower operational cost, streamline appropriate payment, and enhance the patient experience. With R1 Financial Clearance clients are able to get to “Schedule Ready” faster with sixty-seven percent of authorizations cleared within minutes and ninety-seven percent within 3 business days.
About R1 RCM:
R1 RCM is a leading provider of technology-driven solutions that transform the patient experience and financial performance of healthcare providers. R1’s proven and scalable operating models seamlessly complement a healthcare organization’s infrastructure, quickly driving sustainable improvements to net patient revenue and cash flows while reducing operating costs and enhancing the patient experience. To learn more visit: r1rcm.com.  

Compatibility level

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Clients

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Use Cases

Description:
  • Lower costs for healthcare-delivery organizations
  • Reduced frustration and more transparency for patients and clinicians
  • Better network relationships for health plans
Pediatric use cases:

None provided

Users:

Patients, Providers, Payers

Description:

None provided

Pediatric use cases:

None provided

Users:

None provided

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

Epic

Hardware Compatibility:

None provided

Integrations:

None provided

EMR Integration & Relevant Hardware:

None provided

EMRs Supported:

None provided

Hardware Compatibility:

None provided

Client Types

None provided

Differentiators

Differentiators vs EHR Functionality:

eviCore intelliPath® is eviCore’s electronic prior authorization solution housing a suite of capabilities that simplify and automate the prior authorization process. These capabilities include connectivity, real-time decisions, case validation, and simplified clinical surveys.

eviCore intelliPath® is deployed by provider organizations to automate and simplify submitting and tracking requests for prior authorization. eviCore intelliPath® streamlines operations within a single easy-to-use application that integrates with major electronic health record (EHR) vendors. Provider costs are reduced and decisions are communicated in real time, reducing delays.

Differentiators vs Competitors:

Administrative Cost Savings

eviCore’s medical benefits management solutions are proven to reduce unnecessary–and potentially harmful–tests and procedures. But securing prior authorization can impose a high burden on provider organizations; for example, dedicated administrative staff are hired to request and track cases, and clinicians typically must allocate time to provide details on the patient’s medical diagnosis.

In place of implementing an abundance of tools, multiple health plan portals, and time-consuming manual interactions, eviCore intelliPath® simplifies and streamlines prior authorization operations with a single, integrated application. eviCore intelliPath® leverages the substantial investment in EMRs on the part of provider networks. It automatically incorporates case details from the patient’s chart and fits seamlessly into clinical and revenue cycle workflows.

Clinical Efficiency

Further, eviCore intelliPath® integrates with eviCore’s utilization management system (and those of other UM providers). This speeds communication of critical information (e.g., automated approval, no prior authorization required, or additional clinical information is needed for a decision to be made). With the approval or denial in hand, patients can be scheduled or alternative tests or procedures ordered in a timely fashion.

Benefits for Patients, Providers, and Health Plans

  • Lower costs for healthcare-delivery organizations
  • Reduced frustration and more transparency for patients and clinicians
  • Better network relationships for health plans
Differentiators vs EHR Functionality:

None provided

Differentiators vs Competitors:

None provided

Keywords

Images

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Videos

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Downloads

https://www.evicore.com/insights/global-shortage-of-iodinated-contrast-media

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Alternatives

Company Details

Founded in 1994

Founded in 2003

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