AUTOMATION AGENT
Streamline prior authorization submissions with fewer clicks and less effort
Managing imaging prior authorizations 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 NIA to automate the initiation process. The agent interacts with NIA’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 NIA PRIOR AUTH WORKFLOW
Initiate prior authorizations without leaving your system
NIA provides a lot of value to the prior authorization process by connecting payers and providers to obtain approvals digitally.
However, it still takes time for staff to navigate through the system to check to see if an auth has been initiated, and then complete all the necessary steps to initiate an authorization. Our automation agent eliminates these manual steps.
- 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.
- Improves 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, Cigna Ash, Optum, and others—ensuring comprehensive support for radiology authorization initiation across a wide range of payers.
HOW IT WORKS
A fully automated solution for initiating therapy prior authorization requests
Once a NIA 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 NIA’s payer portal and entering the necessary patient and procedure information.
Automation agent interacts with the NIA 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 NIA, our solution ensures faster and more accurate authorization submissions while allowing your team to focus on higher-value tasks.
