Prior authorization is among the most significant administrative burdens providers have to manage. Prior authorization requirements can lead to strained provider–payer relationships—and, more importantly, subpar clinical outcomes for patients. A 2022 survey by the American Medical Association (AMA) found that nearly two-thirds of physicians were forced to divert to less effective medications or schedule additional office visits to satisfy prior authorization requirements.1 We believe there”s a better way.
Edifecs Prior Authorization eliminates the need for a separate prior authorization portal. Our AI-enabled solution integrates seamlessly with the provider’s EHR to deliver fully automated prior authorization at the point of care. By reducing their administrative workload, we enable providers to focus on collaborating effectively with their payer partners—and, most importantly, improving patient satisfaction and outcomes.
1 American Medical Association, 2022 AMA Prior Authorization (PA) Physician Survey.
Utilize our savings calculator to discover how much you can save by automating prior authorization.
A Better Approach to Prior Authorization
Find out how we can help you reduce administrative workloads and improve collaboration.
Streamline prior authorization across multiple payers—no matter what EHR you use.
Connect to clinical guideline repository for greater efficiency and accuracy.
Leverage AI and Machine Learning (ML) for utilization management decision support.
