Prior Authorization

With the MCG Cite AutoAuth, payers and providers can rely upon an automated, evidence-based system to facilitate the prior authorization process. The web-based interface, provided through the payer’s portal, makes it easy for a provider to document and support treatment requests.

Direct is the leading EHR-integrated cost transparency solution. The solution brings real-time, medical and pharmacy benefit cost information, coverage restrictions, and alternatives into native EHR workflows. Giving providers cost information at the point-of-care enables data-driven and evidence-based decisions that help patients get the care they need at prices they can afford.

Features and Benefits:

 - Access to lower-cost alternatives increases care adherence and patient health and satisfaction

 - Select care/medications that do not require prior authorization

 - Reduced pharmacy/PBM/payer call-backs, prior authorization denials, and other uncompensated provider hassles

 - Uses native order workflows, is easy to implement

Olive’s End-to-End Prior Authorization solution seamlessly connects to provider EHR systems, accelerates the prior authorization process, and empowers healthcare providers with an efficient prior authorization workflow management system, supplemented by automation and augmented by AI. Olive recommends a succinct clinical bundle to improve authorization approvals leading to increased revenue and patient throughput. Additionally, Olive includes comprehensive medical necessity criteria for tens of thousands of procedures to help you understand payer requirements and include better supporting clinical documentation, resulting in more first-pass prior auth approvals and reducing prior auth denials.