Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution
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Transcript of Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution
Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution
Infinx Healthcare
Infinx Overview
Technology driven Healthcare Revenue Cycle Management Solutions
2000 employees across specialized teams
Healthcare domain expertise across multiple specialties and provider groups
3 delivery centers in India – Mumbai, Navi Mumbai & Hyderabad
100+ software engineers with broad technology, application and project exposure
Introducing Infinx Pre-Auth & Insurance Verification Solution
Prior-Authorization + Insurance Verification + Patient Pay Estimation Prior-Authorization + Insurance Verification + Patient Pay Estimation
HL7 INTEGRATION FOR iBRIDGE
iBRIDGE
Workflow Platform
KNOWLEDGE BASE - RIGHT SKILLS &
EXPERTISE
Our Pre-Auth Solution
ride – Pre-Auth Workflow Management
• Knowledgeable and experienced resources
• Well-Trained to handle complex cases/scenarios
• Experience dealing with multiple payors & benefit managers
• Ability to handle payor queries efficiently for faster approvals
• Ability to deal with limited clinical documentation and information
• Single screen secure web-based portal
• Smart queue management
• Intelligent business rules for prioritization & Insurance Verification
• Tracks requests with Status
•Upto 99% approval rates
•TAT of 4hours for STAT requests
•Upto 99% Accuracy rate
iBridge
A 3-IN-ONE Workflow Platform that manages
Prior-AuthorizationPrior-Authorization
Automated Insurance VerificationAutomated Insurance Verification
Automated Patient Pay EstimationAutomated Patient Pay Estimation
Handles end-to-end prior-authorizations and tracks status instantly
Automates the verification process & enables faster approvals in minutes
Estimates patient responsibility at the point of service (calculates co-pays, deductibles & out of pocket)
Our Experience & Success in Pre-Auth
Experience in 15+ specialties with over 20 customers using our prior-authorization service
Knowledge & Experience dealing with 700+ payors/benefit managers
Team of 100+ resources trained & experienced in insurance verification & prior-authorizations
Successfully processing 1500 prior-authorizations everyday
Delivering 99% approval & accuracy rate on prior-auth requests
Meeting average TAT of 24hours with STAT requests processed within 20mins
Success implementing iBridge on client platforms through HL7 Interoperability
Benefit to your Practice using Infinx
Reduce appointment rescheduling/cancellations due to delay in getting pre-auths done on time by doctors which may result in loss of revenue for radiology practice.
Infinx ability to deliver faster pre-auth approvals through iBridge will help your radiology practice schedule more appointments leading to more revenue/cashflow.
Tracking pre-auth requests & status instantly through iBridge will help radiology center plan their appointments efficiently.
Automated Patient Pay Estimation solution through iBridge will help radiology practice to calculate, educate, and clarify patient financial responsibility at the point of service thus reducing payment delays/defaults.
Patient Pay Estimation functionality will also enable providers to predict patient payment revenues and cash flow roadmap.
Benefits our clients get using our Pre-Auth & Insurance Verification Solution
Improved Approval Rates for Prior Authorizations
Fewer Escalations & Faster Approvals
Improved Process Efficiency & Profitability
Increased Performance for Radiology Centre