Prior Authorization

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Automated Prior Authorization

Myndshft Prior Authorization

Myndshft’s automated prior authorization solution is designed for the specific needs of diagnostics and genomics labs, specialty pharmacies, infusion providers and other alternative site care organizations.

With Myndshft, you can automate the entire prior authorization workflow. From the moment a physician refers a patient, all the way to submitting, verifying and tracking a prior authorization. Seamlessly integrated with your existing systems and workflows. 

No need to manually cut and paste data from portals. No need to fax forms, play phone tag or sift through emails. Myndshft connects directly with your EHR, LIMS, pharmacy management or revenue cycle solution.

Move RCM to the Point of Service

Revenue Cycle at the Point of Service

Alternative sites of care have unique revenue cycle challenges. Limited contact with patients. Complex billing. Extreme time constraints. All of which lead to errors that trigger denied claims and write-offs. Prior authorization only magnifies these challenges.

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

  • Direct connections to 700+ payers; 93% of U.S. covered lives
  • Extensive payer rules library that dynamically updates prior authorization rules
  • Member-specific, real-time medical & pharmacy benefits data
  • Integrated master patient index 
  • Artificial Intelligence that determines the optimal submission route between EDI/278, fax, and payer portals 
  • Blockchain-powered architecture for improved security and reduced latency. 
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How It Works

 

Watch the video to see how Myndshft can automate prior authorization and reduce manual tasks by as much as 90%. View transcript

 

 

Tangible Results

By integrating Myndshft with your current systems, you can:

 

Improve Patient
Experience

Grow
Patient Volume

Increase
Efficiency

Accelerate
Reimbursement

Myndshft Tangible Client Results
Myndshft Tangible Client Results
Myndshft Tangible Client Results
Myndshft Tangible Client Results

Improvement in turn around
time for patient benefits

Increase in patient
referrals

Productivity
improvement

Reduction in claims
held in suspense