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Prior Authorization

ZOLL® AR Boost® Prior Authorization Automates the PA Process for Swift,
Real-time Results

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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.

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For Providers: Automates the PA Process for Real-time Decisions from Payers

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:

  • Efficient PA process and adjudication
  • Artificial intelligence (AI)-enhanced identification and validation of PA requirements based on payers, plans, and groups
  • Automatic submission of PA requests directly to payers
  • Seamless integration with provider’s EMR system
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For Payers: Efficient, Effective Decisions and Streamlined Processes

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:

  • Near real-time access to EMR and demographic data
  • Natural learning, processing-based AI engine
  • Automated approvals and responses
  • Seamless integration with payer’s utilization management system

What Is a Medicare Beneficiary Identifier (MBI)?

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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Benefits of ZOLL AR Boost
Prior Authorization

  • Efficient process and adjudication 
  • Faster patient access to treatment, enabling better clinical outcomes
  • Reduced administrative burden for providers and payers
  • Increased opportunities for healthcare plans to engage members 
  • Cost savings through averted hospitalizations and emergency care
  • Better decision support for payers
Request A Demo

What Is a Medicare Beneficiary Identifier (MBI)?

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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What Is a Medicare Beneficiary Identifier (MBI)?

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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