Myndshft automated prior authorization software addresses the diverse needs of any healthcare provider, specialty pharmacy, payer, PBM, medical device manufacturer and pharmaceutical manufacturer.
With Myndshft, you can automate the entire prior authorization workflow. From the moment a physician orders a treatment, service or medication, all the way to submitting, verifying and tracking a prior authorization under medical or pharmacy benefits.
No more hunting high and low for payer requirements.. No faxing forms, playing phone tag or sifting through emails. Myndshft connects directly with your EHR, LIMS, pharmacy management or revenue cycle solution.
Every healthcare provider faces revenue cycle challenges, and prior authorization represents one of the most frustrating. It’s complicated, time-consuming, and prone to preventable errors that trigger denied claims and write-offs.
Myndshft automates the tedious administrative tasks that plague prior authorization and moves the revenue cycle processes associated with it to the point of service. So you capture more revenue, faster, and with 33% less effort.
Key Features & Benefits
- Submissions to payers nationwide; 94% of U.S. covered lives
- Extensive payer rules engine and policy library that dynamically updates, keeping pace with evolving prior authorization rules
- Member-specific, real-time medical data
- Integrated master patient index
- Generative AI and machine learning that determines the optimal submission route
By integrating Myndshft with your current systems, you can:
Improvement in turn around
Increase in patient
Reduction in claims