AccuReg Authorization Manager simplifies disjointed phone, fax and web-based processes, reducing the time, resources and costs required to manage and obtain authorization. AccuReg applies intelligent end-to-end automation, an adaptive rules engine and sophisticated pattern analysis to the five best-practice steps of prior authorization, helping you prevent no-auth denials, improve staff efficiency and increase patient satisfaction.
AccuReg Authorization Manager manages and maintains your payers’ authorization determination rules engine to automate the prior authorization process.
Our technology then determines if authorization is required, utilizing the most current payer requirements. When authorization is required, we streamline submissions through a single platform, consolidating payer portals, making it easy to complete questionnaires, upload documents, and provide other required information. Intelligent automation monitors response status and retrieves authorization or denial number along with additional documentation requests, eliminating staff time manually checking payer portals.
Initiates, submits and retrieves instant authorization determination using real-time EDI transactions for many of your most common procedures
Manages and maintains authorization determination rules for all payers