Solving the problem of documentation of medical necessity and coding for prior authorization – turning an archaic analog process into an intelligent algorithm-based expert system.
Patient Intake: Disability Status, Pain Numerical Rating Scale, Review of Systems, SANE Score for Patient Reported Outcomes, Sex/Race/Ethnicity/Language, Social Determinants of Health, and Vaccination Status Documentation
Step Therapies & Formularies
Medical necessity criteria of outpatient hospital services.
requires certain procedures and advanced imaging take place in a non-hospital affiliated outpatient facility.
Site of Service
Drugs & Biologicals
Durable Medical Equipment
Hospital Related Services
Interventional Pain Management
Surgery & Injections
Social Determinants of Health