Prior authorization

pVerify's enhanced EDI 270/271 brings discrete benefits data to standard X12 Eligibility

Retrieved on: 
Tuesday, October 26, 2021
EB, Technology, United Medical & Dental College, Business rules engine, 271, EDI, Prior, MPE, Health care, Health, Software as a service, Medicine, ANSI, MSG, Time, BRE, Conference, HIPAA, EHR, Health professional, 5010, REST, ASC X12, API, Solution, ANSI X12, EMR, Independent Healthcare Providers Network, Business rule, Prior authorization, Health insurance, Online shopping

Standard 270/271 captures pVerify's Advanced Eligibility ANSI X12, bringing key data to EHR Integrations

Key Points: 
  • Standard 270/271 captures pVerify's Advanced Eligibility ANSI X12, bringing key data to EHR Integrations
    pVerify's enhanced ANSI X12 allows standard 270/271s to easily consume pVerify's Advanced Eligibility, offering detailed and discrete key data, by utilizing standard MSG segments to return parsed data.
  • EHR/EMRs utilize EDI 270/271 but do not parse the data, often leading to front-office staff confusion.
  • "In addition to standard EDI 271 results from the Payer, pVerify returns practice-specific, discrete benefits data by adding an EB - MSG segment.
  • Plus, data can power custom Patient Estimators by mapping this discrete data we return in the MSG."

Advanced Radiation Therapy, LLC and Apollo Healthcare Announce Strategic Partnership

Retrieved on: 
Friday, October 22, 2021
Apollo, Breast cancer, Technology, Hospital, Cancer, NIBB, Health care, ART, Partnership, Patient, Insurance, Adoption, Prior authorization, LLC, Medicare, ASTRO, GLOBE, Society, Physician, Medical imaging, Health insurance

TYNGSBORO, Mass., Oct. 22, 2021 (GLOBE NEWSWIRE) -- Advanced Radiation Therapy, LLC (ART) and Apollo Healthcare have today announced a strategic partnership aimed at easing the challenge radiation oncology clinics have in pre-authorizing patients for insurance coverage for innovative radiation cancer therapies.

Key Points: 
  • TYNGSBORO, Mass., Oct. 22, 2021 (GLOBE NEWSWIRE) -- Advanced Radiation Therapy, LLC (ART) and Apollo Healthcare have today announced a strategic partnership aimed at easing the challenge radiation oncology clinics have in pre-authorizing patients for insurance coverage for innovative radiation cancer therapies.
  • Apollo Healthcare is ready to serve as an additional resource to clinics utilizing ARTs products and technology.
  • ART will be showcasing this new partnership at the upcoming American Society of Therapeutic Radiation Oncologists (ASTRO) annual meeting in Chicago, Illinois from October 24-27, 2021.
  • Advanced Radiation Therapy, headquartered outside of Boston, MA, is an innovator inprecision radiation therapy for breast cancer.

Banjo Health Inc. Selected by Vivid Clear Rx as its Next Generation PA Platform

Retrieved on: 
Thursday, October 21, 2021
Pharmacy and Therapeutics (journal), Composer, Pharmacy, Banjo, Partnership, CEO, Growth, Multimedia, Health, Artificial intelligence, Solution, Lists of trees, PBM, Prior authorization, Virtuoso, Cryptocurrency, Medical device

"We chose Banjo Health based on its solution and its alignment with our commitment to provide superior customer service.

Key Points: 
  • "We chose Banjo Health based on its solution and its alignment with our commitment to provide superior customer service.
  • Providing a best-in-class prior authorization service model is foundational to our positioning statement of 'clear intentions, clear savings'", stated Mike Agostino, President of Vivid Clear Rx.
  • With this partnership, Banjo Health will provide its comprehensive PA Management solution, Harmony PA, in addition to its three modular solutions of Virtuoso AI, Concerto Suite, and Composer to Vivid Clear Rx.
  • Vivid Clear Rx carefully chose Banjo Health to help solve their challenges with its current prior authorization process.

Smart Data Solutions Announces 2022 Customer Symposium

Retrieved on: 
Wednesday, October 13, 2021
Insurance, Automation, Health maintenance organization, Preferred provider organization, Payment, Customer experience, TPA, COVID-19, Machine learning, Multimedia, FHIR, Industry, VP, Marketing, No, Hospital, SDS, Prior authorization, Artificial intelligence, Technology, Data management, Smart Data Compression, Pharmaceutical industry

ST. PAUL, Minn., Oct. 13, 2021 /PRNewswire/ --Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, announced they will be hosting their Customer Symposium May 4th to May 6th, 2022, after being postponed in 2020 due to the COVID-19 pandemic restrictions.

Key Points: 
  • ST. PAUL, Minn., Oct. 13, 2021 /PRNewswire/ --Smart Data Solutions, a leading provider of data management, claim routing and workflow solutions to health plans and TPAs, announced they will be hosting their Customer Symposium May 4th to May 6th, 2022, after being postponed in 2020 due to the COVID-19 pandemic restrictions.
  • Smart Data Solutions' Customer Symposium acts as a keyway to connect and facilitate conversations between Payers and Network Partners.
  • As a leader in the healthcare industry, Smart Data Solutions' mission is to make the healthcare market more efficient by leveraging technology to provide effective, high-quality claims processing solutions.
  • Smart Data Solutions has focused on creating innovative solutions specifically to meet the needs of the healthcare market.

Banjo Health, a leader in AI-powered Prior Authorization (PA) solutions, is pleased to announce the appointment of Emilian Elefteratos as Chief Operating Officer

Retrieved on: 
Wednesday, October 6, 2021
Well, Verifone, Prior authorization, Health, Multimedia, Patient, Artificial intelligence, Cisco Systems, Hypercom, Organization, Composer, Attitude, CEO, Acquisition, Emotion, COO, Management

WASHINGTON, Oct. 6, 2021 /PRNewswire/ -- Most recently, Emilian completed the acquisition of Medal Inc., where he was CEO, by Ciox Health/Datavant.

Key Points: 
  • WASHINGTON, Oct. 6, 2021 /PRNewswire/ -- Most recently, Emilian completed the acquisition of Medal Inc., where he was CEO, by Ciox Health/Datavant.
  • Emilian held leadership roles at renowned organizations such as Cisco Systems, British Telecom, and co-founded his own-start-up which was acquired by Hypercom and then acquired by VeriFone.
  • Banjo Health is well positioned to make a positive impact for patients while streamlining and simplifying the prior authorization process, thus making it more effective, and more efficient."
  • Banjo Health is an innovative healthcare technology solution provider that enhances existing practices through Artificial Intelligence (AI) with a focus on simplifying the complexities in Prior Authorization.

OncoSpark And ELLKAY Announce New Partnership To Use Interoperability To Solve Prior Authorization Challenges In Oncology

Retrieved on: 
Wednesday, October 6, 2021
Prior authorization, Solution, Cancer, Multimedia, Patient, Hospital, Toxicity, LLC, Technology, Health policy, Industry, Asset management, Medicine, Pharmaceutical industry

The platform was built with a tailored approach to interoperability through ELLKAY.

Key Points: 
  • The platform was built with a tailored approach to interoperability through ELLKAY.
  • OncoSpark and Ellkay disrupt the healthcare space by solving Prior Authorization barriers.
  • OncoSpark's team worked in tandem with the interoperability architects at ELLKAY to ensure the solution met the challenges presented by oncology: clinical variables, pathways, exceptions, and health policy considerations.
  • Prior authorization has long created unnecessary financial burdens and challenges for hospitals, providers, and patients.

iMagnum Healthcare expands itself into a Technology and Services provider in Revenue Cycle Management Industry

Retrieved on: 
Friday, August 13, 2021
PMS, Acute care, Human, Analytics, British Overseas Territories, Health care, CEO, AR, Prior authorization, Revenue cycle management, Solution, Deep learning, Technology, Automation, Siemens Technology and Services, RCM, ASC, Electronic health record, Outpatient surgery, ROI, Schedule, Health care in the United States, Industry, Pharmaceutical industry, Medicine, Medical device

BALTIMORE, Aug. 13, 2021 /PRNewswire/ -- iMagnum Healthcare, a technology agnostic revenue cycle management services provider, today announced its transformationas a Technology and Services company in the Revenue Cycle Management (RCM)industry, focusing on catering its services to the US Healthcare market.

Key Points: 
  • BALTIMORE, Aug. 13, 2021 /PRNewswire/ -- iMagnum Healthcare, a technology agnostic revenue cycle management services provider, today announced its transformationas a Technology and Services company in the Revenue Cycle Management (RCM)industry, focusing on catering its services to the US Healthcare market.
  • Prakash Jayaramaraju, CEO, iMagnum Healthcare, says, "We are delighted to announce our expansion of services as a complete Technology and Service provider in the RCM industry.
  • WeiMagnum, are believers in theory of building a resilient, admirable, and accountable technology that can spread the wings to a larger spectrum of this healthcare industry with higher ROI.
  • Our goal is to create superior technology platforms and provide comprehensive services at a nominal cost to the US Healthcare market.

Myndshft Launches Myndauth, Insurance Discovery At HIMSS 2021

Retrieved on: 
Wednesday, August 4, 2021
Health in the United States, Health insurance in the United States, Healthcare in the United States, Health, Healthcare Information and Management Systems Society, Prior authorization, Insurance

MESA, Ariz., Aug. 4, 2021 /PRNewswire/ --Myndshft Technologies, a leading provider of real-time medical benefits check and electronic prior authorization technology, will announce the launch of Myndauth and the release of insurance discovery as a part of its Myndview real-time benefits solutions at HIMSS 2021 in Las Vegas, Nevada.

Key Points: 
  • MESA, Ariz., Aug. 4, 2021 /PRNewswire/ --Myndshft Technologies, a leading provider of real-time medical benefits check and electronic prior authorization technology, will announce the launch of Myndauth and the release of insurance discovery as a part of its Myndview real-time benefits solutions at HIMSS 2021 in Las Vegas, Nevada.
  • Myndshft is also launching an improved insurance discovery product as a part of their Myndview platform at the conference.
  • This technology enables providers to find active insurance coverage for patients that provided invalid insurance information or no insurance information.
  • Myndshft enables real-time, automated eligibility, coordination of benefits, insurance discovery, patient cost analysis, authorization requirements, and authorization submissions at the point of care all within a single, integrative system.

Infinx Prior Authorization Software Now Available in the Epic App Orchard

Retrieved on: 
Thursday, July 22, 2021
Health in the United States, Health insurance in the United States, Healthcare in the United States, Managed care, Prior authorization, Epic Card Game, Epic, Business process automation, Articles, Health

SAN JOSE, Calif., July 22, 2021 /PRNewswire/ --The Infinx Prior Authorization Software (IPA) is now available in the Epic App Orchard, a program for developers to integrate with Epic.

Key Points: 
  • SAN JOSE, Calif., July 22, 2021 /PRNewswire/ --The Infinx Prior Authorization Software (IPA) is now available in the Epic App Orchard, a program for developers to integrate with Epic.
  • IPA is a cloud-based solution that leverages artificial intelligence (AI) and robotic process automation,with exceptional handling by our experienced prior authorization and billing specialists, to provide you with a complete end-to-end prior authorization solution.
  • Prior authorization status notifications and approvals are updated directly in Epic using X12 278R responses to ensure authorization information is available for claims processing.
  • Epic and App Orchard are trademarks or registered trademarksof Epic Systems Corporation.

Banjo Health Exceeds $5M Target in Oversubscribed Series A Round to Bring Transparency and Automation to Prior Authorization with Artificial Intelligence

Retrieved on: 
Tuesday, July 13, 2021
Health in the United States, Health insurance in the United States, Healthcare in the United States, Managed care, Prior authorization, Pharmacy benefit management, Health care

With Banjo Health's prior authorization solution, pharmacy benefit managers and payors can reduce turnaround time and improve transparency as to specifically why a PA is being approved or denied.

Key Points: 
  • With Banjo Health's prior authorization solution, pharmacy benefit managers and payors can reduce turnaround time and improve transparency as to specifically why a PA is being approved or denied.
  • "Prior authorization continues to be one of the largest and most complex challenges facing the US healthcare system today.
  • Banjo Health has taken an innovative and sustainable approach to both streamline and bring accountability to the prior authorization process.
  • Banjo Health is an innovative healthcare technology solution provider that enhances existing practices through Artificial Intelligence (AI).