The ZOLL AR Boost Prior Authorization tool saves valuable time for providers and payers by automating manual tasks and eliminating the red tape that can hamper the prior authorization (PA) process and delay treatment. Our tool delivers real-time guidance and decisions at the point of care and provides payer access to near real-time electronic medical record (EMR) and demographic data.
Our PA tool relieves front-end staff and physicians of heavy administrative burdens so they can focus on the patient instead of the paperwork. Providers can validate a PA request against payer guidelines, submit it, and receive swift determination and adjudication from the payer — all automatically and in a fraction of the time compared to the manual approach. Streamline complex processes and enable better health outcomes with:
Payers can use our powerful PA tool for decision support to help streamline complex utilization management processes. The tool automates approvals and responses to providers using payer-selected guidelines and our advanced AI engine. Make better, faster PA decisions with:
As of January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) requires Medicare Beneficiary Identifiers (MBIs) to be used for all Medicare transactions such as billing, claim submissions, and appeals. The 11-character patient identification numbers replace the social security number-based health insurance claim numbers (HICNs) previously used for Medicare patients.
As of January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) requires Medicare Beneficiary Identifiers (MBIs) to be used for all Medicare transactions such as billing, claim submissions, and appeals. The 11-character patient identification numbers replace the social security number-based health insurance claim numbers (HICNs) previously used for Medicare patients.
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As of January 1, 2020, the Centers for Medicare and Medicaid Services (CMS) requires Medicare Beneficiary Identifiers (MBIs) to be used for all Medicare transactions such as billing, claim submissions, and appeals. The 11-character patient identification numbers replace the social security number-based health insurance claim numbers (HICNs) previously used for Medicare patients.
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