Avia Logo

Products /

Prior Authorization Bot

Prior Authorization Bot

Prior Authorization Bot

Claimed

Overview


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

Avia Summary

o
Prior Authorization Bot is a solution provided by CampTek Software which was founded in 2018. It belongs to multiple categories of digital health solutions including Revenue Cycle Management (RCM), Patient Billing & Payment, Coding & Documentation, and Prior Authorization.
o
It has 7 verified clients.
o
Prior Authorization Bot integrates with major EMRs such as Epic, Cerner, and Meditech.
o
Some other resource(s) that may be helpful in learning about Prior Authorization Bot include: A Buyer’s Guide to Patient Billing and Payment and Top Patient Billing and Payment Companies Report | 2023
DESCRIPTION

This solution can automate the process of checking requests under review as well as continued status changes and updates. Supports many portals such as Evicore, Magellan, UHC and others. The solution includes business rules, exception handling and daily reporting functionality with customizable dashboard views. It is can be supported by CampTek as an ongoing managed service.

Read more
AWARDS
edit-media
edit-media
EHR integration

Acute care EMR, Ambulatory EMR, Ancillary EMR, ERP system, Patient portal, Pop health platform, Home health, Behavioral health, Community based organizations, ADT, Access +/or revenue cycle, Credentialing, Website / public online sources, Other
None provided
Epic, Cerner, Meditech, Allscripts, NextGen, athena, GE, eClinicalWorks, McKesson, Other, Allscripts/Eclipsys, Athenahealth, Azalea Health/Prognosis, CPSI, Evident, Healthland, MEDHOST, MedWorx, QuadraMed, Self-developed, Would prefer not to disclose, Point Click Care
None provided
Use cases and differentiators

Industries: Healthcare, RCM

Provider Systems: Epic

Payer Portals: eviCore, United Healthcare, Magellan

Challenge

A large healthcare provider needed to ramp up their automation strategy to offset labor instability and attrition. Currently the staff manually have to go out to payer portals, submit requests and check statuses of Prior Authorizations, sometimes multiple times. Through Task Mining AI (Artificial Intelligence) analysis, it was determined that staff were spending about 30 – 40% of their time submitting requests and checking the status for 19,000 prior authorizations per month.

Prior Authorization Requests: 3 bots processing prior authorization requests in 3 separate portals (EviCore, Magellan and UHC).

  • EviCore: 923 transactions per month
  • Magellan: 595 transactions per month
  • UHC: 7,063 transactions per month

Prior Authorization Statusing: 3 bots processing prior authorization statuses in 3 separate portals (EviCore, Magellan and UHC).

  • EviCore: 5,536 transactions per month
  • Magellan: 3,572 transactions per month
  • UHC: 986 transactions per month

 

Solution:

RPA bots are a much more accurate and effective solution to verify the status of patient health authorizations, RPA bots can repeatedly check requests under review for status changes and updates.

CampTek Software was engaged because of its healthcare and Epic experience. Through task mining, AI models were created, and results were reported back to the customer with enormous success. The next phase of design and build all occurred in a brief time. The bot now in production includes business rules, exception handling and daily reporting functionality. It is also supported by CampTek as an ongoing managed service solution for the provider.

The Bot is now saving 2,696 FTE (full-time employees) hours per month or 32,352 hours (about 3 and a half years) per year. The FTE capacity gain is 17 FTEs (full-time employees), and the ROI (Return on Investment) is $1,085,000 per year.

Any healthcare provider

We offer Intelligent Automation as a Managed Service and have successfully built automations for every major EHR.

We not only focus on development but also full support of bots once they are in production. Each bot has its own custom dashboard view so that our customers are continuously informed of its daily trransaction metrics and KPIs.

Company information

Founded in 2018

Media


Images

edit-media
CampTek Methodology.jpg
edit-media
Healthcare Heatmap.jpg
edit-media
SOC2 Type 2_HIPPA.jpg
edit-media
RPA/AI Managed Services Platform
edit-media
Managed Services_Value Add.jpg
Videos

edit-media
Prior Authorization Request: EviCore
edit-media
How to Leverage Automation to Take Control of Your EMR Data
edit-media
Podcast: Implementing Automation with CampTek Customer, Jennifer Monroe
Downloads

media thumbnail
Revenue Cycle Prior Authorization Case Study
media thumbnail
Prior Authorization Products
media thumbnail
Managed Services

Reviews


Filter reviews


Overall Score
5.0

1 review


0.0

Features

0.0

Ease of use

0.0

Customer Support

0.0

EHR Integrations

Sort by:
Most Recent
Sort by:
Most Recent
Oldest
Most Helpful

Filter reviews


Reviewer’s Rating
5
4
3
2
1

Reviewer’s Role
  • End user
  • Project manager
  • IT / Technical support
  • Executive sponsor
  • Internal consultant
  • Other

Reviewer’s Org Size
  • XL ($5B+ NPR)
  • L ($3-5B NPR)
  • M ($1-3B NPR)
  • S ($0.2-1B NPR)
  • XS (< $0.2B NPR)

Reviewer’s Org EMR compatibility

Reviewer’s Org Type
  • AMC
  • Pediatric Facilities
  • ACO
  • Rural Presence

August 23, 2024

verified
new review

August 23, 2024

Quality solutions and a great partner

CampTek has developed several revenue cycle automations with us, including benefits, pricing, and prior authorization. The prior auth bots check six payor portals and handle faxing the authorization, and have been running successfully for six months, saving countless hours.

Our systems required a lot of custom development and CampTek was a great partner in helping us iterate through requirements, design and development. They are also provide a high level of service as our maintenance and support partner on these and many other automations.  

The CampTek team has also been critical to helping us stand up or internal automation COE, and we look forward to maintaining a long-term relationship.  

View more


user image

Dave Bauer

Executive sponsor working with Prior Authorization Bot at MedStar Health

Helpful(0)

Clients


Filter clients


Type
  • Partner

  • Vendor

  • Health System

  • Other

Explore Related Resources
back to top