ALPHARETTA, Ga.--(BUSINESS WIRE)--Today RelayHealth Financial announced that its RelayClearance™ Authorization solution, part of the RelayClearance Plus patient access suite, now connects to 203 commercial, managed care, and government health plans covering nearly 80% of covered lives in the U.S. Now even more healthcare providers can take advantage of RelayClearance Authorization’s 318,000 payer-specific authorization policy screening rules to help streamline the pre-authorization verification process and reduce the associated time and cost.
To avoid claim denials, it is critical for providers to confirm that payer-specific pre-authorization and payment policies are met for procedures prior to service. RelayHealth Financial’s pre-authorization verification eliminates the manual processes, including time-consuming phone calls and searches of health plan portals, to determine both whether an authorization is required and if it has been obtained.
“Despite living in a digital world, healthcare pre-authorization remains a stunningly manual and costly process, consuming staff time and often delaying care,” said Janet Cutcliff, vice president and general manager, RelayHealth Financial Patient Access Solutions. “We’re committed to reversing that paradigm, which is why we continue to invest in building pervasive payer connectivity into our RelayClearance patient access suite. We’re committed to taking the cost, time, and pain out of pre-authorization for providers.”
RelayClearance Authorization enables providers to confirm that payer pre-authorization and admission notification policies, along with Medicare Medical Necessity and Advance Beneficiary Notice (ABN) processes, are readily available and consistently addressed. RelayClearance Authorization continually monitors payer authorization rules and request statuses while tightly integrating into the EHR workflow to ensure consistent implementation of authorization requirements.
For more information on RelayHealth Financial’s revenue cycle management solutions, visit our website, learn from our experts at the RelayHealth blog, or follow us on Twitter at @RelayHealth.
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About RelayHealth Financial
Every day across America, more than 2,400 hospitals and health systems rely on RelayHealth to help them process over 3.3 billion transactions worth $1.8 trillion annually. Our broad array of revenue cycle management solutions uses the power of the cloud and big data to help healthcare professionals make better financial decisions for their organizations and patients, right at the point of care. Nobody does more than RelayHealth to bring healthcare connections to life. For more information, visit relayhealthfinancial.com.
About McKesson
McKesson Corporation, currently ranked 11th on the FORTUNE 500, is a healthcare services and information technology company dedicated to making the business of healthcare run better. We partner with payers, hospitals, physician offices, pharmacies, pharmaceutical companies and others across the spectrum of care to build healthier organizations that deliver better care to patients in every setting. McKesson helps its customers improve their financial, operational, and clinical performance with solutions that include pharmaceutical and medical-surgical supply management, healthcare information technology, and business and clinical services. For more information, visit us at www.mckesson.com.
Tags: McKesson, McKesson Health Solutions, RelayHealth, RelayHealth Financial, Revenue Cycle, Revenue Cycle Management, Claims, Reimbursement, Authorization, Pre-Authorization
