Attended AUTOMATION AGENT
Streamline prior authorization submissions with fewer clicks and less effort
Managing prior authorizations for Physical and Occupational Therapy can be tedious and time-consuming. Staff typically must log into multiple payer portals, navigate complex screens, and manually input case details. Multiply these steps by ten or more portals, and it’s clear how quickly the workload can escalate—pulling valuable time away from other priorities. But what if you could simplify dozens of tedious clicks into just a few easy steps? With our attended automation, you can.
Our Prior Authorization Initiation Automation Agent integrates with Cohere—a leading platform specializing in prior authorization and medical management—to streamline the initiation of physical therapy (PT) and occupational therapy (OT) prior authorization requests. This automation agent interacts directly with Cohere’s portal, efficiently entering case details and submitting authorization requests with minimal user input. Staff only step in to answer specific clinical questions or provide information not available digitally.
With this agent operating in the background, your team can focus on other critical tasks, enhancing overall productivity and patient care. Available as part of our Patient Access Plus platform’s prior authorization module or as a standalone automation agent in our Revenue Cycle Agent Platform, this technology integrates smoothly into your existing workflows.
HOW WE ENHANCE YOUR Cohere PRIOR AUTH WORKFLOW
Initiate prior authorizations without leaving your system
Cohere connects with a wide network of payers, simplifying prior authorization submissions. Our automation agent further streamlines this process by automatically completing authorization submissions through Cohere’s portal, significantly reducing manual work.
- Attended robotic process automation (RPA) tackles the repetitive heavy lifting—verifying existing authorizations, entering patient, CPT, provider, and health plan details, and effortlessly navigating multiple screens—freeing your staff to focus on higher-value tasks.
- Users receive clear, timely visual and audible alerts—ensuring staff intervention happens exactly when needed, keeping your workflows smooth and efficient.
- Improve accuracy by automating routine entries and minimizing manual touches—staff step in only when needed, ensuring precise, focused input.
Our Patient Access Plus platform clients benefit from additional API and RPA automation agents that connect to other clearinghouses and benefit managers, including NIA, Cigna Ash, Optum, and others—ensuring comprehensive support for PT/OT authorization initiation across a wide range of payers.
HOW IT WORKS
A fully automated solution for initiating therapy prior authorization requests
Once a PT/OT prior authorization request is ready, our attended automation agent takes over the initiation process. Here’s how it works:
Your system triggers automation agent
When a therapy authorization request is created, the automation agent is automatically triggered, logging into Cohere’s payer portal and entering the necessary patient and procedure information.
Automation agent interacts with Cohere’s portal
The agent completes all necessary steps for the initiation process—logging into the payer portal, checking to see if there's an existing auth, entering case details, submitting forms, and answering questions where needed.
Human intervention only when necessary
If the automation agent encounters a step it cannot handle (e.g., specific clinical questions or new requirements), the system will pause and notify a user to intervene. The user can quickly address perform the step and allow the automation to continue.
System updates with authorization status
Once the request is submitted, the automation agent logs the authorization status and updates your system, ensuring all data is readily available in real-time.
By automating the initiation process with Cohere, our solution ensures faster and more accurate authorization submissions while allowing your team to focus on higher-value tasks.
