Itiliti Health
Eden Prairie, MN — Itiliti Health is proud to announce that South Country Health Alliance (SCHA), a county-based purchasing health plan serving Minnesota, has chosen to implement Itiliti Health’s PA Checkpoint solution to improve transparency and efficiency around prior authorization…
Why Waiting to Act on CMS-0057 Puts NCQA Accreditation at Risk By January 1, 2027, CMS is requiring health plans to support electronic prior authorization (ePA) through FHIR APIs. Right now, that may feel like a faraway deadline because it’s…
Itiliti Health Receives WEDI’s Innovation in Health IT Award for Advancing Prior Authorization Automation Itiliti Health, a leader in prior authorization automation, is proud to announce that it has been recognized with the Innovation in Health IT Award by the…
PrimeWest Health Partners with Itiliti Health to Modernize Prior Authorization with PA Checkpoint Itiliti Health, a leader in prior authorization automation, has partnered with PrimeWest Health to implement its CMS-compliant PA Checkpoint solution. This collaboration underscores the commitment of both…
Itiliti Health Enables Full CMS Prior Authorization Compliance for Large BUCA Payer Eden Prairie, MN — October 15, 2025 — Itiliti Health, a leader in payer-focused prior authorization solutions, announced that a large regional BUCA plan is now live with…
Digitizing Medical Policies: The Key to Scalable Prior Authorization Automation Prior authorization (PA) is undergoing a long-overdue transformation. The days of faxes, long turnaround times, and frustrating appeals are numbered, thanks to regulatory pressure and a growing demand for real-time,…
A Guide for Payers Choosing a Prior Authorization Vendor With CMS-0057 placing prior authorization (PA) in the national healthcare spotlight, payers are facing a pivotal moment. For years, PA has been a source of frustration and inefficiency for payers, providers,…
EDEN PRAIRIE, MN — August 6, 2025 — Itiliti Health, a leader in prior authorization automation and healthcare interoperability, is pleased to announce that Michael Lunzer, CEO and Co-Founder, has been appointed Co‑Chair of the WEDI Prior Authorization Subworkgroup. The…
How the Upcoming CMS Prior Authorization Rule Impacts Providers In January 2024, the Centers for Medicare and Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), a mandate aimed at payers to improve prior authorization (PA)…