The DCA will gather all information from the open prior auth request, including reading the ePA portal key from faxes or digital documents attached to the prior auth request. The DCA uses APIs to retrieve data such as demographics, lab results, and medication history. The DCA executes business rules and submits the initial request in the provider's configured workflow. The DCA also updates internal notes with the ePA key, making navigation between ePA portal and the EMR easier

Prior authorization requirements knowledge base is continually and automatically maintained with minimal effort required outside of the clinical team outside of weekly check-ins to verify all clinical questions are being answered as they would (continuous quality improvement).

The digital worker entirely automates form completion via API access. Appropriate fields are populated by leveraging structured and unstructured data from the EHR.

DCA and its components are a secure, Microsoft Azure Cloud-based infrastructure.

Necessary documentation can be attached to satisy the prior authorization request via APIs

Prior authorization requests can be submitted on behalf of the health system through e-fax, payer portals, their party sites, etc.

Prior authorization request status is monitored in near real-time. It can be pushed back, along with other relevant information (e.g., tracking numbers, supporting text), into the appropriate work queues and fields within the EHR. Exceptions-Only processing is done by the clinician - ie: only clinical questions the the DCA is not configured for will be sent back to the clinical team.

We offer patient engagement options in multiple languages through text and email. We also offer provider engagement options through text and email.

This privacy notice discloses the privacy practices for Nebo II Inc. d/b/a HealthNautica, our website https://healthnautica.com and our mobile app eORdersNOW. HealthNautica provides a software platform to facilitate and coordinate care and reimbursement. HealthNautica’s software streamlines the workflow, improves care, operational efficiencies and reduces denials and payment reductions. Our software replaces cumbersome and error-prone phone and fax processes ensuring that patients are managed safely, efficiently and with improved outcomes. HealthNautica receives personal health information (PHI) through health care providers (and their office staff) who are requesting health care services on behalf of their patients. It also collects PHI through hospitals and surgical centers that provide these services. PHI is also be submitted by the patients who are the recipient of the health care services. Patient consent for the collection, use and disclosure of PHI is managed by the health information custodians (e.g. physicians, hospitals, surgical centers). HealthNautica supports the disclosure of PHI only under the following circumstances: Between health information custodians who are arranging health care services to patients. Where permitted and/or required by law, report information to government agencies, payers and other entities responsible for patient care and reimbursement. HealthNautica is committed to the protection of PHI at all times. HealthNautica employs administrative, physical and technical safeguards to protect PHI from theft, loss, unauthorized use, modification, disclosure and destruction. This includes: All PHI is hosted in secure, access controlled data centers All information is encrypted at rest and in transit HealthNautica software authenticates and limits access only to authorized users All user’s access to PHI is logged and audited HealthNautica adheres to a privacy policy to ensure PHI is protected. This includes: All staff are aware of the purposes for which PHI is collected and maintained and trained on their legal obligations to protect PHI Agreements with participating health care providers that outline privacy and security requirements Monitor security to detect for any breaches PHI is not used or disclosed for purposes other than those for which it is intended. HealthNautica does NOT sell, rent, share or provide PHI or even any de-identified information in the aggregate to any third party. https://healthnautica.com/about-us/privacy/

User support is provided by subject-matter experts during extended business hours (Monday-Saturday). These same experts are on call after hours. We provide unlimited onsite and remote training sessions.