The Digital Clinical Assistant is your solution to the prior authorization process. The Digital Clinical Assistant leverages innovative AI technology and a digital workforce to automate the burdensome process within Athenahealth EHR- eliminating the need to learn new tech or add to existing workflows. As a result, the DCA can improve the time to approval by up to 50%, increasing the number of approvals you can process daily. In addition, the DCA can reduce the cost of prior authorization by up to 60% and alleviate the administrative burden on your staff.

Digital Blue is a healthcare consulting and solutions company focused on improving lives through optimized business performance. Our services and solutions empower leaders across the healthcare ecosystem to eliminate inefficiencies, increase productivity and improve patient satisfaction. Client benefits include; increased revenue, reduced operational cost and administrative burden, and improved quality of care. 

• Iguana is a powerful integration engine designed to facilitate seamless communication between diverse systems and applications. It specializes in transforming, routing, and managing data across various platforms, making it particularly valuable in healthcare, finance, and other industries that require robust data exchange.

• At its core, Iguana allows users to connect disparate systems, regardless of their underlying technologies or protocols. This flexibility enables organizations to streamline their workflows and enhance data interoperability. The engine supports a wide range of data formats, including HL7, XML, JSON, and CSV, making it suitable for various use cases.

• Iguana features an intuitive user interface that simplifies the process of mapping data fields and creating integration workflows. Users can easily define how data should be transformed and routed between systems, ensuring that information is accurately exchanged and processed. The engine also includes powerful monitoring and logging capabilities, allowing users to track data flows and troubleshoot issues in real time.

• Moreover, Iguana is built with scalability in mind, enabling organizations to adapt to changing needs as they grow. Its support for cloud and on-premises deployment options provides additional flexibility for businesses of all sizes.

• Overall, Iguana is an essential tool for organizations looking to optimize their data integration processes, enhance operational efficiency, and improve decision-making through timely and accurate information sharing.

• iNTERFACEWARE is a leading provider of integration solutions, used extensively used within healthcare, but equally powerful in finance, operations, and beyond.

• Its flagship product, Iguana, enables seamless data exchange between disparate systems, facilitating interoperability and streamlining workflows. 

• With support for various data formats and an intuitive user interface, iNTERFACEWARE empowers organizations to transform, route, and manage data effectively. 

• The platform's robust monitoring capabilities ensure reliable performance and real-time troubleshooting, making it a vital tool for enhancing operational efficiency and improving data-driven decision-making.

Prior Auth Process As-Is

Prescriber opens the EMR and prescribes the prescription.

The pharmacy will notify the prescriber that a prior auth is needed

Prescriber will submit an electronic request for prior authorization through ePA or insurance portals

Prescribers and their staff input patient demographic information and history and answer clinical questions as they come in. 

The staff is constantly checking for status updates

Duplicate requests come in, typically at night and over the weekend. If the PA request isn't completed quickly enough, these must be filtered out manually.

Backlogged workbaskets and data-entry errors cause care gaps and delays in treatment.

Increased administrative burden is the number one cause in provider burnout and a significant cause for loss in revenue

DCA Optimized Prior Auth Process

The Clinician Opens the EMR and prescribes the medication

DCA monitors the EMR and other systems for PA work and kicks off the automated process

DCA auto-triages PAs and removes ALL duplicate requests as they come in

DCA auto-fills forms via APIs and submits the requests for medications it has been configured for based on your practices' volumes

DCA creates a work queue for any encountered exceptions

nurses work only the PA requests or clinical questions that the DCA is not configured for, saving time for high-value work

Based on payer rules, the DCA posts status updates/tasks to EMR and auto-updates status

60% reduction in manual effort

50% improvement in time to approval

100% elimination of duplicate requests

See more patients, improve employee satisfaction/retention, and get home on time!

Iguana's integration engine offers full flexibility in connecting various EHR systems, including Epic, Cerner, Allscripts, and more, without being limited to predefined templates or channels. 

Iguana does not limit the number of channels or connections, allowing for more scalable and seamless integration between multiple EHRs or systems.

This is ideal for Healthcare Providers or Vendors who need custom integration, giving them full control over how data is integrated between systems.

Licensing and Cost: Iguana provides more flexible licensing options that aren't tied to the number of channels or connections, allowing businesses to scale without the added cost of per-instance or per-connection fees. This sets it apart from competitors that often charge based on the number of connections, interfaces, or instances, which can become expensive as integration needs grow.

Hosting Options: Iguana offers both self-hosted and cloud-hosted solutions, providing flexibility for organizations that need to align with their internal IT infrastructure, whether on-premise or in the cloud. This contrasts with other solutions that may only provide cloud-based hosting, which could be limiting for companies that require more control over their hosting environments.

Customizability: With Iguana, users can take advantage of a toolkit approach to build custom integrations themselves, offering full control over the integration process. This is ideal for organizations that prefer to manage their own interfaces and avoid relying on external services to build or maintain integrations. Other platforms may require paying for each interface or have more rigid, pre-built solutions that limit flexibility.

Support for Various Data Formats and Protocols: Iguana is versatile in supporting a wide range of data formats (such as HL7, FHIR, XML, JSON, etc.) and transport protocols (including LLP, HTTP/S, FTP, and more), making it suitable for diverse integration needs. Many competing solutions may specialize in a narrower set of data formats or protocols, limiting their application in more complex integration environments.

Key differentiator: Iguana’s flexibility, scalability, and cost-efficiency stand out, particularly for organizations looking to manage their own integrations and support a broad array of systems, data formats, and transport protocols.