Waystar’s automated authorization suite Prior Authorization brings real-time data to healthcare organizations. Prior Authorization determines whether an authorization is required and automates data retrieval from payer websites, capturing screenshots status. Prior Authorization verifies requirements and automates logging in to payer portals, auto-populating data to complete an authorization request up until clinical data is required. Prior Authorization initiates communication with payers through portals and automatic faxing. MedicalNecessity supports rules for Medicare and commercial payers, auto-generating advance beneficiary or non-coverage notice.
Additional Peer Reviewed Waystar Product
- Claim Management
- Claim Monitoring
- Insurance Verification
- Patient Estimation
- Patient Pay Optimization
- Revenue Integrity
For more information about Waystar’s Peer Reviewed Product, email: HFMA’s Peer Review Team.