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Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution

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Title: Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution


1
Infinx Prior Authorization, Insurance
Verification Patient Pay Estimation Solution
Infinx Healthcare
2
Infinx Overview
  • Technology driven Healthcare Revenue Cycle
    Management Solutions
  • 2000 employees across specialized teams
  • Healthcare domain expertise across multiple
    specialties and provider groups
  • 3 delivery centers in India Mumbai, Navi Mumbai
    Hyderabad
  • 100 software engineers with broad technology,
    application and project exposure

3
Our RCM Offerings
4
Introducing Infinx Pre-Auth Insurance
Verification Solution
Prior-Authorization
Insurance Verification Patient
Pay Estimation
5
Challenges Faced by Doctors managing Pre-Auths
6
Impact on Radiology Practice
7
Our Pre-Auth Solution
ride Pre-Auth Workflow Management
  • Knowledgeable and experienced resources
  • Well-Trained to handle complex cases/scenarios
  • Experience dealing with multiple payors
    benefit managers
  • Ability to handle payor queries efficiently for
    faster approvals
  • Ability to deal with limited clinical
    documentation and information
  • Single screen secure web-based portal
  • Smart queue management
  • Intelligent business rules for prioritization
    Insurance Verification
  • Tracks requests with Status
  • Upto 99 approval rates
  • TAT of 4hours for STAT requests
  • Upto 99 Accuracy rate

8
iBridge
A 3-IN-ONE Workflow Platform that manages
Automated Insurance Verification
Automates the verification process enables
faster approvals in minutes
Automated Patient Pay Estimation
Estimates patient responsibility at the point of
service (calculates co-pays, deductibles out of
pocket)
Prior-Authorization
Handles end-to-end prior-authorizations and
tracks status instantly
9
Our Experience Success in Pre-Auth
  • Experience in 15 specialties with over 20
    customers using our prior-authorization service
  • Knowledge Experience dealing with 700
    payors/benefit managers
  • Team of 100 resources trained experienced in
    insurance verification prior-authorizations
  • Successfully processing 1500 prior-authorizations
    everyday
  • Delivering 99 approval accuracy rate on
    prior-auth requests
  • Meeting average TAT of 24hours with STAT
    requests processed within 20mins

10
Benefit to your Practice using Infinx
  • Reduce appointment rescheduling/cancellations
    due to delay in getting pre-auths done on time by
    doctors which may result in loss of revenue for
    radiology practice.
  • Infinx ability to deliver faster pre-auth
    approvals through iBridge will help your
    radiology practice schedule more appointments
    leading to more revenue/cashflow.
  • Tracking pre-auth requests status instantly
    through iBridge will help radiology center plan
    their appointments efficiently.
  • Automated Patient Pay Estimation solution
    through iBridge will help radiology practice to
    calculate, educate, and clarify patient financial
    responsibility at the point of service thus
    reducing payment delays/defaults.
  • Patient Pay Estimation functionality will also
    enable providers to predict patient payment
    revenues and cash flow roadmap.

11
Benefits our clients get using our Pre-Auth
Insurance Verification Solution
Increased Performance for Radiology Centre
12
Thank You Contact us at sales_at_infinxinc.com
www.infinxinc.com
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