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Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution

Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution<br>

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Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution

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  1. Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution Infinx Healthcare

  2. Infinx Overview • Technology driven HealthcareRevenue Cycle Management Solutions • 2000 employees across specialized teams • Healthcare domain expertise across multiple specialties and provider groups • 3 delivery centers in India – Mumbai, Navi Mumbai & Hyderabad • 100+ software engineers with broad technology, application and project exposure

  3. Our RCM Offerings

  4. Introducing Infinx Pre-Auth & Insurance Verification Solution Prior-Authorization + Insurance Verification + Patient Pay Estimation KNOWLEDGE BASE - RIGHT SKILLS & EXPERTISE iBRIDGE Workflow Platform HL7 INTEGRATION FOR iBRIDGE

  5. Challenges Faced by Doctors managing Pre-Auths

  6. Impact on Radiology Practice

  7. Our Pre-Auth Solution ride – Pre-Auth Workflow Management • Knowledgeable and experienced resources • Well-Trained to handle complex cases/scenarios • Experience dealing with multiple payors & benefit managers • Ability to handle payor queries efficiently for faster approvals • Ability to deal with limited clinical documentation and information • Single screen secure web-based portal • Smart queue management • Intelligent business rules for prioritization & Insurance Verification • Tracks requests with Status • Upto 99% approval rates • TAT of 4hours for STAT requests • Upto 99% Accuracy rate

  8. iBridge A 3-IN-ONE Workflow Platform that manages Automated Insurance Verification Automates the verification process & enables faster approvals in minutes Automated Patient Pay Estimation Estimates patient responsibility at the point of service (calculates co-pays, deductibles & out of pocket) Prior-Authorization Handles end-to-end prior-authorizations and tracks status instantly

  9. Our Experience & Success in Pre-Auth • Experience in 15+ specialties with over 20 customers using our prior-authorization service • Knowledge & Experience dealing with 700+ payors/benefit managers • Team of 100+ resources trained & experienced in insurance verification & prior-authorizations • Successfully processing 1500 prior-authorizations everyday • Delivering 99% approval & accuracy rate on prior-auth requests • Meeting average TAT of 24hours with STAT requests processed within 20mins • Success implementing iBridge on client platforms through HL7 Interoperability

  10. Benefit to your Practice using Infinx • Reduce appointment rescheduling/cancellations due to delay in getting pre-auths done on time by doctors which may result in loss of revenue for radiology practice. • Infinx ability to deliver faster pre-auth approvals through iBridge will help your radiology practice schedule more appointments leading to more revenue/cashflow. • Tracking pre-auth requests & status instantly through iBridge will help radiology center plan their appointments efficiently. • Automated Patient Pay Estimation solution through iBridge will help radiology practice to calculate, educate, and clarify patient financial responsibility at the point of service thus reducing payment delays/defaults. • Patient Pay Estimation functionality will also enable providers to predict patient payment revenues and cash flow roadmap.

  11. Benefits our clients get using our Pre-Auth & Insurance Verification Solution Improved Process Efficiency & Profitability Fewer Escalations & Faster Approvals Increased Performance for Radiology Centre Improved Approval Rates for Prior Authorizations

  12. Thank You Contact us at sales@infinxinc.com www.infinxinc.com

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