Authorized partner and distributor of AutenTIC in ColombiaDigital identity and electronic signature with legal validity

Healthcare · Prior authorizations

PRIOR AUTHORIZATIONS ALWAYS IN VIEW.

Every service request to the payer with its stage, its owner and its deadline, so none gets lost between departments.

SITUATIONS YOU ALREADY KNOW.

What happens today

Requesting a prior authorization is not hard. What is hard is knowing, at any moment, where each one stands.

Nobody knows where it stands

To find out the status of a request, you have to call several people or dig through emails and spreadsheets.

Incomplete documentation

The request goes out missing a clinical document, and the process is repeated when the payer asks for it.

Patients waiting

Scheduling depends on a response nobody is following, and the patient calls to find out what happened.

Every payer has its own way

Each payer asks for different things, and that knowledge lives in the head of whoever has been in the department for years.

ProcessIllustrative example

Service authorization

Request receivedAdmissions
Completed
Clinical documentation gatheredMedical audit
Completed
Request sent to the payerPrior authorizations
In progress
Payer responsePrior authorizations
Pending
Service schedulingScheduling
Pending

ONE REQUEST, ONE PATH.

The process in ORBITS

In ORBITS, each prior authorization is a case with stages, an owner for each one and a record of what happened. The stages in the example are adjusted to how your institution works.

01

Defined stages

Each request moves through the stages we define with you, with no steps that depend on someone's memory.

02

Documentation in one place

The request's documents stay attached to the case instead of being scattered across emails.

03

Visible deadline

Supervisors see which requests are in progress and which need attention.

If your process includes a patient signature, the electronic signature from AutenTIC, of which we are an authorized partner and distributor, can be added as a stage. Each use is validated case by case before it is implemented.

TODAY AND WITH ORBITS.

Before and after

The same process, before and after putting it in order.

Today
With ORBITS
Asking several people about the status of a request.
The status and owner of each request are checked in a single view.
Documents scattered across emails and folders.
The documents for each request stay attached to the case.
A response arrives and nobody picks it up.
The payer's response creates the next task for Scheduling.
Reconstructing what happened when there is a discrepancy.
Every step is recorded: who did it and when.

EACH TEAM SEES ITS OWN WORK.

Who takes part

Access is defined by role: each person sees the work that is theirs and the part of the case's path they need to know.

Admissions

The requests coming in and what is still missing before they can be sent.

Medical audit

The clinical documents pending review, by request.

Prior authorizations

The requests in progress, by payer and by deadline.

Scheduling

The authorizations already answered, ready to schedule.

Management

The overall status of the process, without asking each department for reports.

FOUR STEPS, ONE PROCESS.

How we start

We start with a single process, yours, just as it works today.

1

We review the process

You tell us how prior authorizations are handled today: who is involved, with what documents and with which payers.

2

We structure and configure

We define the tasks, stages and owners with you, and configure them in ORBITS.

3

We run it with your team

Your team works with clear tasks and a guide for each one.

4

We follow the path

You check the status of each case, and we adjust the configuration if the process calls for it.

THREE OTHER PROCESSES.

Other processes

ORBITS is configured process by process. You can start with one and add the others later.

Medical orders and prescriptions

Every order assigned, with its validity date and documents in one place.

See the process

Patient referrals

Referrals that do not get lost between departments or between institutions.

See the process

Surgery scheduling

Prerequisites coordinated across all the departments involved.

See the process

LET US REVIEW YOUR PROCESS.

Book your demo

Schedule a conversation to review your processes and find out whether ORBITS fits what you need.

  1. 01You tell us how the process works today.
  2. 02We show you ORBITS on a case similar to yours.
  3. 03Together we decide whether it makes sense to move forward.
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