Authorization Portal - Streamline Preauthorization Process

Smooth Out Processes and Strengthen Relationships

Altruista Health’s Authorization Portal offers an intuitive and comprehensive electronic tool to ease the preauthorization, appeals and messaging process for your utilization management staff and the providers who interface with your plan. Plans can dramatically streamline the preauthorization process and shrink turnaround times by eliminating time-consuming faxes and phone calls. Reducing administrative burden means your plan has more satisfied staff, providers and plan members. The Authorization Portal integrates with the world’s most comprehensive and respected clinical guidelines.

Integrates with MCG Cite AutoAuth and InterQual Connect™ guidelines

Embeds links into messages to give providers one-click response

Offers a single, end-to-end resource when combined with GuidingCare
modules in Utilization Management and Appeals & Grievances

Build Stronger Provider Satisfaction

Providers experience greater satisfaction working with your user-friendly dashboard and getting faster, more consistent responses to their preauthorization requests. Knowing your coverage decisions are grounded in well-respected clinical guidelines helps to establish trust and better communication. Providers can add text and image documentation to support requests and are assured the patient’s complete health picture has been factored into coverage decisions. They can view the status of their requests at any time.

Keep Providers in the Know

Providers can conveniently search, view, sort, print and evaluate their authorization requests for improved transparency, analysis and reporting. Data is visible in condensed or expanded views. Authorization requests are searchable by multiple fields, including the member ID number, member date of birth, CPT code, inpatient vs. outpatient status and discharge status.

Offer Flexibility and Configure Plan Rules

The Authorization Portal flexes easily between individual and multiple providers within a practice, accommodating single and shared tax IDs and NPIs. Plans can configure workflows to meet requirements according to the plan design, line of business, regulatory requirement or quality measure. The portal leverages rules to improve speed and accuracy, eliminating manual errors.

Reduce Staff Time Spent on Routine Requests

Our Authorization Portal solution simplifies preauthorization requests, validates them against clinical guidelines and manages messaging between providers and your plan’s utilization management (UM) staff. The Portal is automated to instantly authorize routine request and flag those that need further medical review. UM managers will receive supporting notes, documents and images in the initial request, eliminating the rounds of back-and-forth communication that extend turnaround times and create friction.