Banjo Health is excited to announce the successful integration of our platform with four leading electronic prior authorization (ePA) solutions: Surescripts, CoverMyMeds, Cencora, and Arrive Health. This milestone marks a significant step forward in our mission to streamline the prior authorization (PA) process for providers, payers, and patients alike.
Revolutionizing the Prior Authorization Process
Prior authorization has long been a pain point for healthcare providers, contributing to administrative burden and delays inpatient care. At Banjo Health, we are addressing these challenges by leveraging API integrations and our proprietary AI-powered decision trees from Composer.
With these integrations:
- Decision Trees for Precision: Using decision trees designed in Composer, we create pre-filled templates that providers can easily complete for PA submissions.
- Custom Messaging: We provide tailored messaging back to providers with detailed outcome explanations, ensuring transparency and reducing the need for follow-up.
- E-Appeal Capability: For denied cases, we streamline the appeals process by integrating electronic appeal options directly into the workflow.
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Driving Results with ePA
Our innovative approach to ePA has delivered tangible results for our clients:
- Increased Efficiency: Some clients are now submitting up to 85% of their PAs electronically, significantly reducing reliance on manual processes like faxing.
- Reduced Administrative Burden: By automating key steps in the PA process, providers can focus more on patient care and less on paperwork.
- Enhanced Patient Care: Faster prior authorization approvals mean patients get the treatments they need without unnecessary delays.
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Partners in Innovation
Integrating with industry leaders like Surescripts, CoverMyMeds, Cencora, and Arrive Health ensures that our clients have access toa comprehensive and seamless ePA experience. Each partner brings unique capabilities to the table, enabling Banjo Health to deliver even greater value to our users.
- Surescripts: A leader in healthcare information exchange, Surescripts connects providers and payers for real-time PA processing.
- CoverMyMeds: Widely adopted by healthcare providers, CoverMyMeds offers robust tools for streamlined prior authorization workflows.
- Cencora: Formerly AmerisourceBergen, Cencora enhances the medication access process with advanced ePA solutions.
- Arrive Health: Known for simplifying prescription access, Arrive Health integrates cost transparency and clinical decision support into the ePA workflow.
A New Standard for Prior Authorization
Banjo Health’s integrations are more than technical achievements—they represent a new standard for how prior authorizations should be handled in today’s fast-paced healthcare environment. By combining the best tools and technologies, we are reducing friction, improving outcomes, and setting a new benchmark for what ePA can achieve.
We are proud to continue our journey of innovation and collaboration, driving meaningful change in the healthcare landscape.
For more information about our ePA solutions or to learn how Banjo Health can transform your prior authorization processes, contact us today!
