PAHub Description
With the increasing volume of Prior Authorizations and the added complexities introduced by specialty medications, Health Plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) face significant challenges in adapting while striving to enhance both operational and clinical efficiencies. PAHub is a solution that is certified by HITRUST, providing comprehensive tools designed to streamline and govern all clinical, compliance, and administrative facets of Prior Authorization directly at the point-of-care, thereby enhancing compliance and decreasing turnaround times and costs. By utilizing cutting-edge technologies in data mining, analytics, content management, and sophisticated decision support frameworks, PAHub empowers clients to fully automate the entire prior authorization workflow. This innovative approach not only simplifies the process but also fosters a more efficient healthcare experience for both providers and patients. In an evolving healthcare landscape, solutions like PAHub are essential for organizations aiming to keep pace with the demands of modern medicine.
PAHub Alternatives
RXNT
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Our integrated, ONC-certified healthcare software system—including Electronic Health Records, Practice Management, Medical Billing and RCM, E-Prescribing, Practice Scheduling, Patient Portal, and more—will streamline clinical outcomes, practice management, and revenue cycle management for your medical organization.
RXNT is trusted by over 60 thousand providers and medical professionals across all 50 states in the U.S.A. to drive business growth, optimize operations, and improve the quality of patient care.
All of our SaaS-based software products can be purchased standalone, but you can run you entire practice—from encounter to billing—with our unified Full Suite system. It utilizes a secure, central database so your data passes through every product in real-time from anywhere. Using our software, more than 125MM prescriptions have been transmitted and over $7B in claims have been processed.
Our predictable, transparent subscription pricing model includes free setup & training, support, mobile apps, and more.
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Service Center
Service Center by Office Ally is trusted by more than 80,000 healthcare providers and health services organizations to help them take complete control of their revenue cycle. Service Center can verify patient eligibility and benefits, submit, correct, and check claims status online, and receive remittance advice. Accepting standard ANSI formats, data entry, and pipe-delimited formats, Service Center helps streamline administrative tasks and create more efficient workflows for providers.
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ScriptSure
ScriptSure Cloud ERX is the #1 E-Prescribing application available. ScriptSure combines weekly updates to medications, daily updates to pharmacy lists, full e-prescribing network connectivity, Electronic Prescribing of Controlled Substances (EPCS), web-based access and simple workflow methods to deliver the best in E-Prescribing. Electronic refills, order sets, compound medication order, printing prescriptions, patient reports and audit logs are all included and supported in ScriptSure Cloud ERX. ScriptSure is fully HIPAA compliant. ScriptSure Cloud ERX is the winner of the 2021, 2022 & 2023 Surescripts network White Coat Award for Most Accurate Prescriptions and a total 11-time award winner of this prestigious award.
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Cohere PaaS Intelligent Prior Authorization
Cohere assists health plans in transforming their processes by integrating clinical intelligence, which facilitates comprehensive automation of prior authorization internally. Health plans can license Cohere's PaaS for intelligent prior authorization directly, allowing their utilization management teams to utilize it seamlessly. Consequently, client health plans experience notable improvements in administrative efficiency, alongside enhanced patient outcomes that are both quicker and more effective. Cohere offers a customized, modular solution suite specifically designed for health plans, streamlining all prior authorization requests into a cohesive, automated workflow. The platform automates decisions regarding prior authorizations based on the policies preferred by the health plans and accelerates the manual review process. It also aids clinical reviewers in handling complex requests with the help of responsible AI/ML and its automated features. By harnessing clinical intelligence through AI/ML and sophisticated analytics, Cohere enhances the performance of utilization management. Furthermore, it contributes to improved patient and population health outcomes through innovative programs tailored to specific specialties. This comprehensive approach positions Cohere as a leader in the health technology space, ensuring that health plans can meet their operational goals effectively.
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Pricing
Free Version:
Yes
Integrations
No Integrations at this time
Company Details
Company:
Agadia Systems
Website:
www.agadia.com
Media
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Product Details
Platforms
Web-Based
Customer Support
Online Support
PAHub Features and Options
Hospital Management Software
Accounting Integration
Appointment Management
Appointment Scheduling
Bed Management
Billing & Invoicing
Claims Management
In-Patient Management
Inventory Management
Medical Billing
Out-Patient Management
Patient Records Management
Physician Management
Policy Management
Revenue Management
PAHub User Reviews
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