With a growing emphasis on Population Health Management and Pay for Performance (P4P), Healthcare Payers must support all phases and types of Services Requests and Reviews (Prospective, Concurrent, and Retrospective) to ensure their members are getting the right level of care while maintaining the high standards expected in today's competitive market.BIG’s Prior Authorization Review (PAR) App reduces complexity, shortens approval cycles, and builds efficiencies into the Continuum of Care that can improve delivery of care effectiveness in real-time. Member Administrators and Clinical Reviewers can use the App to expedite responses to members resulting in improved patient experiences in this often frustrating process.Organizationally PAR provides ongoing reporting on approvals, denials, pends and voids, and is capable of handling key pieces of member communications such as approval letters. Acting as data HUB for the organization to leverage data visibility and re-usability for other applications as needed, member organizations increase their ability to support their members Continuum of Care and mitigate downstream issues with claim adjudication.Request Intake
(This application was previously listed as Utilization Review.)
© 2021 Appian. All rights reserved.