Panda Health Launches Prior Authorization

Panda Health is excited to announce the addition of our latest category, Prior Authorization.

What is Prior Authorization?

Electronic prior authorization (ePA) technology plays a pivotal role in revolutionizing the healthcare landscape by automating and streamlining the prior authorization approval process for medical procedures and treatments. This technology incorporates insurance eligibility checks enabling providers to expedite the confirmation of a patient’s coverage and benefits, thereby expediting the authorization process. These platforms also identify both general and patient-specific prior authorization requirements, automatically flagging encounters with a high risk of denial, which aids in preventing unnecessary care and mitigating health risks.

How does Prior Authorization benefit hospitals and health systems?

Electronic prior authorization (ePA) platforms offer significant benefits to hospitals and health systems by introducing automation and efficiency into the prior authorization approval process. These platforms help prevent unnecessary care, reduce health risks, and cut down on costs through various key features.

The submission management functionality allows providers to submit prior authorization requests electronically, streamlining the process and reducing the time between submission and decision receipt. This not only enhances the speed at which patients receive necessary care but also contributes to a more efficient use of hospital resources. Real-time status tracking and reporting keep hospital staff informed at every stage, improving overall transparency and communication. The adoption of electronic prior authorization platforms has shown a remarkable impact, with a reported decrease in the time spent in patient care and significant reduction in phone calls, faxes, and time spent on document transmission. These platforms play a crucial role in optimizing hospital operations and improving the overall quality of patient care.

Panda Health looks forward to welcoming Prior Authorization platforms, and helping hospitals across the US implement these beneficial solutions.