Prior Authorization Checkpoint is the first cloud-based SaaS product that enables providers to reliably determine if they need to submit a prior authorization request without contacting a payer.
Prior Authorization Checkpoint is the only solution that creates a provider facing, searchable medical policy database organized by CPT code. This allows secure, reliable real time determination of the need for prior authorization by provider staff.
PA Checkpoint allows a provider to determine the need for a prior authorization in real time, thereby reducing calls and unnecessary PA submissions to the payer. Our clients realize millions in annual savings due to double digit reductions in call volume, call duration, and Prior Authorization submissions.
Simple and Secure
PA Checkpoint is designed for simplicity, making it easy for both clinicians and non-clinicians to utilize.
The intuitive UI enables easy and timely implementation or revision of specific policies by the payer. The product customization capabilities allow flexible policy implemented by LOB or customer. The advanced database structure can receive mass uploading of policy requirements to reduce implementation workload.
|Secure and HIPAA compliant||Intuitive interface and user-friendly design|
| Utilizes APIs and |
standard data structures.
| User Management with roles, access restrictions and logging|
|Implementation in under 60 days||Robust reporting|
Multiple Product Benefits Create Value Across Organization
Reduced Provider Call Volume
Payers using PA Checkpoint report significant reductions in call volume from their provider network. Each diverted call results in tangible savings to the plan.
Improved Call Center Efficiency
PA Checkpoint is also utilized by payer customer service staff to quickly resolve PA phone inquiries, resulting is reduced call times and improved call center efficiency
Reduced Prior Authorization Processing Costs
Payers report radically reduced volume of PA submissions when PA Checkpoint is implemented as payers stop submitting unnecessary prior authorization requests. This volume reduction translates into immediate savings on utilization management activities.
Comprehensive Tracking and Reporting
PA Checkpoint establishes a clear audit trail for both payer and provider to allow easy investigation and verification of past decisions.
Ensure Rapid Adoption By Your Network
Fast, Reliable Determination
PA Checkpoint delivers a real time response based on a payer’s exact Prior Authorization requirements
Reduced administrative burden
Quick response saves valuable time and prevents wasted effort on unnecessary Prior Authorization submissions
Improved patient experience
Definitive answer on the need for a Prior Authorization enables more timely patient care and reduces patient frustration
PA Checkpoint is seamlessly accessed through existing provider portals as part of the existing PA process, enabling quick provider adoption.
Prior Authorization Complete leverages AI and payer/provider interoperability to remove administrative costs from the Prior Authorization adjudication process.
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Medical Policy Optimization
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Learn how our products eliminate unnecessary calls and prior-authorization submissions resulting in millions in annual savings.