Prior Authorization

Determines if prior authorization is required

Our authorization determination engine automatically determines if a prior authorization is required or not with accuracy by referring to the payer guidelines and CPT code of the service.

Authorization Inquiry / Status

Automated repeated follow-up with payers and real-time status updates are provided by our APIs, EDI, and RPA bots. Real-time status updates help your staff keep patients informed and procedures get scheduled on time.

Create Case / Requests / Submission

Create new cases, and sort through the cases intuitively with the help of several filters, search and sort options.

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Organizations We Serve

General Provider

Ambulatory Surgery

EMR/PMS

Oncology

Radiology

Labs

Pain Management

Gastroenterology

Payer Connections

EMR/PMS Connections

Plan Members

Autonomous Integrations and Workflow

ORBIT Connectivity Suite

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HL7 V2 to FHIR

HL7 V2 ADT data flow begins from any provider site

HL7 V2 (or JSON-wrapped ADT) into a FHIR R4 Patient Resource JSON object and delivers the JSON payload to the API endpoint

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    FHIR to FHIR

    Requests made over secure connection for data via FHIR R4 resource

    FHIR R4 messages relayed into central FHIR R4 repository

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    Database to HL7

    Requests made over secure connection for data via SQL query messages

    SQL messages transformed into HL7 V2 messages

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      Custom API to FHIR or HL7

      API input messages retrieved and transformed into FHIR R4

      Messages relayed into central FHIR R4 repository or HL7 V2 feed

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      Click Here to learn more about our Prior Authorization Automation Solution