Pega Marketplace
Automated Electronic Prior Authorization
FHIR Enabled Intelligent Automation to support Prior Authorization For Healthcare Organizations.
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Overview
We offer End to End Implementation and Consulting offering for any Prior Authorization Implementation of healthcare Organizations. Virtusa have a strong healthcare consulting capability working with top 150 Healthcare and Lifesciences (HLS) Companies providing advisory, assessment and Implementation services. Virtusa has a deep understanding of the various CMS, Federal and State Regulations governing the Prior Authorization process. Virtusa has a wide understanding of the Electronic Health Records (EHR) Providers such as EPIC and the various Web services end points offered by EPIC in bringing the latest clinical information pertaining to the member.
Key Features
- Intelligent Workflow Automation
- End to End Prior Authorization
- FHIR, Interoperability
- Clinical Decisioning Support, CDH
- Healthcare Data Model
- NLP
Resources
Partner Name
Virtusa
Tags
- Pega Products: Pega Customer Decision Hub Pega Next-Best-Action Advisor Pega Foundation for Healthcare
- Industry: Healthcare Life Sciences
- Product Capability: Case Management Decision Management Workflow Automation Artificial Intelligence
- Pega Version compatibility: '23 8.7 8.8 8.6
- Geography: Americas
Offering Type
Packaged Service Offering