Cite AutoAuth Module

CAA Module Quicktabs

Details

By attaching the relevant guideline content to each preauthorization request and sending it directly to the payor, providers receive an expedited, often immediate, response. Cite AutoAuth Module matches the payor’s specific criteria to the clinical information and attached guideline content to automatically authorize the procedure or admission.

Cite AutoAuth Module’s benefits include:

  • Reduced administrative costs through a streamlined departmental workflow.
  • Improved clinical controls and quality.
  • Smooth integration with existing software.

Implementation

To configure Cite AutoAuth Module to each payor’s needs, we assign an implementation team to help analyze current authorization workflows and systems. We then guide payors in defining business and medical policy rules and in using our evidenced-based guidelines to automatically authorize a procedure or admission, or in more complex cases to send it for manual review. Where integrations with other systems are identified, we provide technical support to ensure success with current hardware, software, and Web presence.

In the end, the payor has a system that lets providers easily and securely submit authorization requests and supporting documentation – all with HIPAA compliance built in.

-A +A