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Referral Management / Prior Authorization

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0-10 Practices are currently using this product across the following Specialties
  • Multi Specialty
  • Orthopedic Surgery
  • Ambulatory Surgery Center


Capabilities: Referral Management / Prior Authorization, Clinical Decision Support, Revenue Cycle Services

Infinx Prior Authorizations (IPA) Software leverages augmented intelligence (a partnership of AI and robotic process automation + exception handling by experienced specialists) to provide a complete end-to-end solution for prior authorizations.

Our comprehensive prior authorization software greatly improves staff efficiency by reducing manual efforts by up to 70%, with a 98+% accuracy rate and 99.5% adherence to turnaround times. This cloud-based solution can be used as a stand-alone web portal or directly integrated with your existing EHR/RIS/LIS and provides:

● Increased staff efficiencies through advanced automation

● Reduced denials and appeals

● Increased reimbursement and a better bottom line

● Seamless HL7 or API integration

● Industry-leading analytics and reporting capabilities that provide up-to-the-minute transparency 24/7

IPA seamlessly integrates with athenahealth from the order or appointment to determine whether a prior authorization is required for a proposed procedure, test, or medication. Once identified, IPA generates and submits the prior authorization and provides complete visibility into the prior authorization journey in our user-friendly dashboard.

Included as part of the IPA suite:

● Unlimited number of end-users

● Continually updated clearinghouse access for thousands of insurance providers

● Dedicated Customer Success Team

● Full feature access

● Free lifetime product updates and upgrades

● Uncompromising support and follow up

For those prior authorizations that require hands-on guidance, such as STAT or Retro cases, our team of prior authorization specialists stand ready to ensure completion so that patients can be scheduled, and care completed with little to no delay.

Infinx offers additional patient access modules including Patient Pay Estimation and Clinical Decision Support Mechanism (CDSM) – part of the CMS-mandated Appropriate Use Criteria (AUC) Program. In addition, our RCM Platform products, including our AR Optimizer (AROS), are also available for athena users.

The information contained on the Marketplace website is provided by third party MDP Partners related to their services provided through the MDP program. athenahealth does not review the information provided on the Marketplace, and is not responsible for the accuracy of any content provided on the Marketplace.