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Prior authorization software helps healthcare providers and insurance companies manage the medical care authorization process. Insurance companies often require healthcare providers to obtain preapproval for certain procedures, tests, or medications. This process ensures that the care plan is evaluated for medical necessity and cost implications before authorization is granted. If a provider fails to obtain prior authorization, the insurer will not cover the treatment, and the patient may be responsible for the costs. Typically, the healthcare provider initiates the prior authorization process by submitting a request to the patient's insurance provider. This determines whether prior approval is needed for a specific procedure and ensures the appropriate paperwork is submitted to the insurer for review and approval. Since obtaining prior authorization can be an administrative burden, this software helps streamline and automate the process. Prior authorization software integrates with EHR systems or patient relationship management (PRM) software to automatically check if prior approval is required, electronically submit the authorization request to the insurance company, and monitor the status of the submission. It can also be combined with patient intake and revenue cycle management software to further optimize the process.
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RXNT
rxnt.com
Integrated, customizable, ONC-certified clinical management and practice management software for healthcare providers and care organizations. Founded in 1999 and headquartered in Maryland, RXNT's suite of practice software tools will drive efficiency and accuracy, and better patient outcomes. Our software is tailored for many practice types and specialties, including ambulatory physicians, healthcare providers, medical billers, and other health organizations throughout the United States. RXNT's software offer a wide range of functionality, such as E-Prescribing, Electronic Health Records, Patient Engagement, Medical Billing, Patient Scheduling, and more. Additionally, RXNT provides an all-in-one Full Suite system, which integrates all products for an seamless user experience. Over 100 million prescriptions have been transmitted and 5 billion claims processed using RXNT's software. Simple, transparent pricing includes a free onboarding and training period, free data transfer, forever free in-house support, free mobile applications, and no "hidden fees." Our mobile applications for iOS and Android phones and tablets allow providers to e-prescribe, manage patient information, charge capture, schedule providers and practice resources, and check in patients from anywhere. Key features of RXNT include its HIPAA-compliant and ONC-ACB-certified status, ensuring that user data is secure and meets regulatory standards. The software is also Surescripts-certified, EPCS-certified, and PDMP-connected, which enhances its functionality in e-prescribing and medication management. RXNT's commitment to transparency is reflected in its straightforward pricing model, which includes free onboarding and training, free data transfer, and ongoing in-house support without hidden fees. The availability of mobile applications for iOS and Android devices further empowers healthcare providers to manage patient information, schedule appointments, and e-prescribe from virtually anywhere. RXNT has received recognition for its contributions to the healthcare technology landscape. It was named the Best Overall E-Prescribing Software in 2024 by Forbes Advisor and was ranked on the Inc. 5000 list of The Most Successful Companies in America for four consecutive years. Additionally, RXNT has been acknowledged as a "true trailblazer" and ranked among the Top 100 Healthtech Companies by the Healthcare Technology Report, further solidifying its reputation in the industry. With hundreds of Gartner Research Report Badges awarded for Top Software, RXNT continues to demonstrate its commitment to innovation and excellence in healthIT.
Office Ally
officeally.com
Office Ally is a healthcare technology company that offers a range of services designed to streamline medical billing and practice management. Their solutions include electronic claims submission, patient billing, and practice management software, aimed at improving efficiency for healthcare providers. Office Ally is known for its user-friendly interface and commitment to reducing administrative burdens in the healthcare industry. For more information, visit their website at https://cms.officeally.com/.
Silna Health
silnahealth.com
With Silna, providers can finally focus on patients, not paperwork. Silna empowers providers to effortlessly clear patients for care by handling all prior authorizations, benefits and eligibility checks.
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