AUTOMATION AGENT
Streamline prior authorization submissions with fewer clicks and less effort
Managing prior authorizations for PT and OT can be time-consuming, involving multiple payer portals and manual data entry. This process often leads to delays and increased administrative costs.
Our Prior Authorization Initiation Automation Agent integrates with Cigna American Specialty Health (ASH)–a platform specializing in managing health benefit programs–to automate most of the initiation process. The agent interacts with Cigna Ash’s portal, entering case details and submitting requests, while prompting staff only when additional input is needed.
This attended automation reduces manual tasks, improving efficiency, accelerating approval times, and lowering costs. It allows your team to focus on higher-priority tasks while handling routine authorizations in the background.
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 enhancing productivity and reducing overhead.
HOW WE ENHANCE YOUR Cigna Ash PRIOR AUTH WORKFLOW
Initiate prior authorizations without leaving your system
American Specialty Health (ASH), a subsidiary of Cigna, partners with numerous health plans, insurers, and third-party administrators (TPAs) to manage specialty health services, including chiropractic, acupuncture, physical therapy, and occupational therapy.
However, the manual tasks of submitting requests through Cigna Ash—such as leaving your system, logging in, and navigating the portal—can be time-consuming and distract from patient care and other critical tasks. With high volumes of authorizations, these repetitive steps can really add up.
Our automation agent eliminates these manual tasks by automatically completing the steps through Cigna Ash’s portal, submitting requests to various connected payers.
- 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.
- Improve accuracy by automating routine entries and minimizing manual touches—staff step in only when needed, ensuring precise, focused input.
- Users receive clear, timely visual and audible alerts—ensuring staff intervention happens exactly when needed, keeping your workflows smooth and efficient.
Our Patient Access Plus platform clients benefit from additional API and RPA automation agents that connect to other third party administrators (TPAs), including Cohere, Carelon, 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 Cigna Ash’s payer portal and entering the necessary patient and procedure information.
Automation agent interacts with Cigna Ash’s portal
The agent completes all necessary steps for the initiation process—logging into the payer portal, 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., additional questions or new requirements), the system will pause and notify a user to intervene. The user can quickly address the issue 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 Cigna Ash, our solution ensures faster and more accurate authorization submissions while allowing your team to focus on higher-value tasks.
