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Health Management Technology White Paper Library


 Products and Services

Automate authorization

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   December 2010

CareAdvance Provider is an automated authorization portal for healthcare practitioners that enables direct communication between payers and providers. When a provider submits an authorization request through the portal, the CareAdvance Provider solution automatically generates a pre-determined set of questions that is sent back to the practitioner for answers. Those answers are then reviewed by the software, generating a score based on the member's benefit plan and its associated medical policy. The request is automatically approved, rejected or filed for additional review.


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