Obtain Prior Authorization

Type: Process
Status: Planned
Industry Sector: Healthcare

Description:

Requesting and tracking payer authorization for healthcare services before delivery or reimbursement.

Parent Process: Manage Healthcare Revenue Cycle

Subprocesses:

None

Served by Application(s):

Prior Authorization Management System
Revenue Cycle Management System

Realizes Capabilities:

Eligibility & Prior Authorization Management
Healthcare Claims Management

Uses Information Object(s):

Patient
Prior Authorization
Procedure Code
Diagnosis

Performed by Role(s):

Revenue Cycle Specialist

Triggers Process(es):

None

Planned Manage Healthcare Revenue Cycle Healthcare Eligibility & Prior Authorization ManagementHealthcare Claims Management Revenue Cycle Specialist

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