Finally, a next-generation prior authorization platform for providers, payers, and patients. Providers no longer need to fax paper authorization forms to payers, only to wait days or weeks for a manual review process that often results in more information requests. The process is a burden on our healthcare system, costing money and time. Learn how OODA Optic solves these problems.
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OODA Optic streamlines prior authorization processing by automating document handling and introducing direct EHR connectivity to bypass the need for documents altogether.
Providers only engage if the prior authorization is denied. Payer clinical staff only review cases that a machine cannot. Payer workflows are automated and information flows seamlessly to clinicians.
Increase alignment between providers and payers.
Reduce the greatest sources of inefficiency: submission, triage, and clinical review.
Create improved clinician and patient experiences.
Using modern OCR & AI technologies to automate the intake and enable intelligent routing of prior authorizations as well as patient medical records.
During patient intake, OODA Optic uses real-time EHR data to automate information retrieval.
OODA Optic’s real-time decision engine compares services requested against a patient’s medical record and payer policies providing clinical flags and data highlighting.
Automatically populate prior authorization forms with EHR data.
Intelligently parse clinical data to meaningfully increase automated decision making.
Integrates claims, clinical knowledge & economic modeling to ensure policy efficiency.
Industry-wide, only 13% of prior authorizations are processed electronically, leaving patients to wait to receive the care that they need. The delays creates patient anxiety and the additional visits creates unnecessary system cost.
OODA Optic replaces the manual processes for patient intake and eliminates the data entry time with direct integration into provider EHRs and portals.
