Prior Authorization Analytics
Improve approval rates for prior authorization
What we offer
AI/NLP-powered clinical analytics solution to improve prior authorization (PA) approvals and reduce claim rejections, thereby assisting health systems to transition to value-based care and improve market access of specialty products
Who is it for
Patient access and patient support program leaders
Why it’s important
Improve patient care and provider relationship
Increase product sales and revenue
Improve turnaround time and processing costs for PAs
How we deliver
Process
We look beyond the rejection codes that ePAs generate. Our strong medical/clinical team uses advanced NLP/ML-driven clinical, predictive and prescriptive analytics to generate clinical insights from evaluation of case-by-case PA documents. We use these insights to negotiate PA approvals with payers, and thereby, patient access to drugs through payer and provider modelling insights. The analysis further helps collect retrospective RWD data for evidence generation and aids in future design of better PA processes.
What makes us different
Deep clinical expertise integrated with RWD expertise
Proprietary ML/ NLP clinical algorithms
Outcome-oriented solution for PA optimization
Resources
