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Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
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Jump to:
Categories
Solutions
Description
Compatibility Level
Clients
Product Capabilities
Use cases
EHR integrations
Client types
Differentiators
Keywords
Media
Company details
Authorization Advisor
Authorization Advisor

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Categories

Solutions

Description

Product Description:

Authorization Advisor is a generative AI (GenAI)-powered assistant that helps prior auth specialists efficiently submit auth requests on payer portals. The interactive browser sidebar lives in your workflow and enables staff to fill in patient information and authorization details quickly. It reviews relevant medical information and recommends documents to include in the auth request. 

Plus, Authorization Advisor works with any payer portal or service line and most EHRs (including Epic and Cerner). Our AI continuously learns from customer inputs and improves future recommendations.

About AKASA:

AKASA is the preeminent provider of generative AI solutions for the healthcare revenue cycle. Our offerings are built on the AKASA platform, which integrates the company’s proprietary generative AI technology and deep revenue cycle expertise to deliver exceptional impact for hospitals, health systems, and the patients they serve. Our platform is used by more than 475 hospitals and 8,000 outpatient facilities. AKASA helps healthcare organizations improve revenue outcomes, achieve greater efficiency, empower staff, and allocate resources where they matter most.

Product Description:

Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large sized healthcare settings, specialties, and payers from one platform and portal.

All built just for you.

About Valer:

Valer’s technology speeds and simplifies prior authorization and referral management by automating submissions, status checking, verification, reporting, and EHR synchronization across all mid-to-large sized healthcare settings, specialties, and payers from one platform and portal.

All built just for you.

Valer's automation technology enables our clients to reduce labor cost, claim denials from avoidable prior authorization errors, and writeoffs stemming from denials. With prior authorization approvals further in advance of scheduled treatments and procedures, Valer enables fewer rescheduled and abandoned appointments. Patients are happier, providers are happier, and staff are happier.

Compatibility level

Select which hospital or health system you work at and see a personalized compatibility level.

Clients

Select which hospital or health system you work at and see the client list

Product Capabilities

AKASA Authorization Advisor efficiently extracts key info from your EHR and presents it in an interactive browser sidebar for prior auth specialists to quickly access. Additionally, the AI suggests relevant information for users to populate appropriate fields on payer portals.

Using our powerful GenAI technology, Authorization Advisor reviews relevant medical information and recommends documents to include in auth requests, along with evidence-based justifications. The technology then pulls those suggestions into the sidebar for the RCM team to evaluate.

AKASA Authorization Status Check uses automation to check the status of submitted auth requests and documents the results.

Valer can be configured to identify highly targeted information regarding authorization requirements and/or services which are "no auth required." Valer has the ability to work with select payers to provide authorization requirements, "no auth required" alerts, and authorization submissions via real-time APIs (application programming interfaces) where available.

Valer comprehensively automates completion and submission of prior authorizations for 1,000+ unique payer fax forms and 75+ payer web portals.

Valer's form library maintains and updates over 1,000+ payer authorization fax forms across all service lines (diagnostic imaging, surgeries, procedures, chemo/infusion, medications, notice of admissions, DMEs, sleep, Worker's Comp). Valer's proprietary technology can add any new fax form for users typically within 24 hours to support authorizations and referrals.

Valer provides the ability for users to easily attach any relevant clinical documentation to a prior authorization for submissions. Valer supports various file formats needed for submission. Valer also captures documentation from payers regarding approval tracking codes, expiration dates, units of service, CPTs approved, which can be pushed directly back into EHRs/practice management systems to avoid manual data entry. Valer also has Epic's x275 clinical document exchange functionality live in production to directly exchange information from Epic to Valer and back.

Valer comprehensively SUBMITS prior authorizations across both fax and web portal modalities across all-payers and all service types. Valer provides ONE interface, deeply integrated with EHR workflows to automate both today's manual authorization submission and verification workflows.

Valer provides automated authorization status verification across 75+ payer web portals. Authorization information (tracking numbers, units, expiration dates, sites of service, CPT/family of codes approved can be automatically pushed back into EHRs in an automated process further eliminating the need for manual data entry.

Use Cases

Description:

Prior authorization submissions on payer portals

Pediatric use cases:

Prior auth submissions on payer portals

Users:

Prior auth managers, supervisors, leads, specialists

Description:

Valer provides health systems, hospitals, and ambulatory clinics with one place to streamline, automate, and manage today's manual prior authorization workflows. Valer saves time, cost, and reduces patient access denials and avoidable write-offs.

Pediatric use cases:

Pediatric health systems and clinics utilize Valer to reduce the time and cost involved with today's manual prior authorization and referral workflows.

Users:

patient access teams, ambulatory clinic authorization teams,  admitting/scheduling teams, revenue cycle teams

EHR Integrations

Integrations:

None provided

EMR Integration & Relevant Hardware:

Required

EMRs Supported:

Epic, Cerner

Hardware Compatibility:

None provided

Integrations:

Acute care EMR, Ambulatory EMR, Community based organizations, ADT, Access +/or revenue cycle, Website / public online sources

EMR Integration & Relevant Hardware:

Recommended, but not required

EMRs Supported:

Epic, Cerner, Allscripts, NextGen, athena, GE, Athenahealth, Other

Hardware Compatibility:

Desktop

Client Types

Differentiators

Differentiators vs EHR Functionality:

See below. 

Differentiators vs Competitors:

What makes our prior authorization solution unique?

  • Efficiently extracting and presenting key information from your EHR in an interactive browser sidebar: Our sidebar connects to your EHR via FHIR integration to access data needed to help auth specialists quickly fill in patient details and accurately attach relevant documentation, speeding up prior auth submissions.
  • Intelligently suggesting relevant clinical documentation using powerful generative AI: Authorization Advisor reviews relevant medical information and recommends documents to include in auth requests — providing evidence‐based justifications.
  • Seamlessly supports any payer portal or service line, and most EHRs: Stay on top of increasing prior auth requirements and minimize team training by utilizing this integrated and flexible tool designed to handle a higher volume of requests.
  • Dramatically supercharging human performance with AI: In a study, AKASA generative AI empowered staff to find 15% more relevant documents than staff alone in auth requests.
Differentiators vs EHR Functionality:
  • Single platform and payer portal consolidates payer management
  • Comprehensively submit, verify, manage prior authorizations and referrals
  • All payers and service lines
  • Continuous real-time payer updates
  • 2-way data integration with EHR systems
  • Real-time workflow visibility and reporting
  • Integrates with any EHR or billing system for seamless workflow
  • Clients using Epic, Cerner, Veradigm, Athenahealth, NextGen and more
Differentiators vs Competitors:
  • Valer focuses exclusively on automating submissions, status-checking, and verification with all payers- national, regional, local
  • Valer supports every service type, specialty, and care setting except formulary medications and dentistry
  • Valer integrated bi-directionally with any EHR or system of record

Keywords

Images

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Authorization Advisor Image

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Valer Reporting Screen Shot.png

Videos

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AKASA Authorization Advisor Preview Video

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Valer Explainer Video_Final.mp4

Downloads

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AKASA Authorization Advisor Brochure
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VALE144-Glossary_v7.pdf

Alternatives

Company Details

Founded in 2010

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