ALPHARETTA, Ga.--(BUSINESS WIRE)--Today RelayHealth Financial announced that its RelayClearance™ Authorization solution, part of the RelayClearance Plus patient access suite, now includes more than 635,000 payer-specific authorization policy screening rules from 549 commercial, managed care, and government health plans. As a result, providers using RelayClearance Authorization have access to continually updated screening rules from payers covering more than 90% of covered lives, and can use these rules to help streamline the pre-authorization verification process, decrease associated costs, and reduce claim denials.
“Making this unprecedented number of payer policies available to users of RelayClearance Authorization is an important milestone, and helps make the pre-authorization process much simpler and effective for even more providers,” said Janet Cutcliff, Vice President and General Manager, RelayHealth Financial Patient Access Solutions. “But the true value to providers is in the quality of the content. RelayHealth Financial understands the many challenges of authorization, including the constant changes to payer policies, which occur daily. That’s why we take on the complexity–continually monitoring, evaluating, and updating our payer policy knowledge base–so our customers can be confident that their authorization screening and verification is based on the most current information.”
Understanding payer-specific authorization requirements and monitoring for confirmation of payer decisions are two of the core pre-authorization activities that currently depend on disjointed, manual processes that cost both time and money. RelayHealth Financial’s automated pre-authorization screening and verification significantly reduces manual processes, including phone calls and searches of health plan portals to determine both whether an authorization is required and if it has been obtained. The extensive payer connections and screening rules added to RelayClearance mean providers can use the tool to automate these tasks and significantly reduce related denials, rejections, and follow-up work.
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.
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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.
McKesson Corporation, currently ranked 5th 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, Screening, Verification, Payer Policy Rules