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Infinx Prior Authorization, Insurance Verification &
Patient Pay Estimation Solution
Infinx Healthcare
Infinx Overview
 Technology driven Healthcare Revenue 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
Our RCM Offerings
Introducing Infinx Pre-Auth & Insurance Verification Solution
Prior-Authorization + Insurance Verification + Patient Pay EstimationPrior-Authorization + Insurance Verification + Patient Pay Estimation
HL7 INTEGRATION
FOR iBRIDGE
iBRIDGE
Workflow Platform
KNOWLEDGE BASE -
RIGHT SKILLS &
EXPERTISE
Challenges Faced by Doctors managing Pre-Auths
Impact on Radiology Practice
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
iBridge
A 3-IN-ONE Workflow Platform that manages
Prior-AuthorizationPrior-Authorization
Automated Insurance VerificationAutomated Insurance Verification
Automated Patient Pay EstimationAutomated Patient Pay Estimation
Handles end-to-end prior-authorizations and
tracks status instantly
Automates the verification process & enables
faster approvals in minutes
Estimates patient responsibility at the point of service
(calculates co-pays, deductibles & out of pocket)
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
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.
Benefits our clients get using our Pre-Auth & Insurance Verification Solution
Improved
Approval Rates
for Prior
Authorizations
Fewer
Escalations &
Faster
Approvals
Improved
Process
Efficiency &
Profitability
Increased
Performance
for Radiology
Centre
Thank You
Contact us at sales@infinxinc.com
www.infinxinc.com

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Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution

  • 1. Infinx Prior Authorization, Insurance Verification & Patient Pay Estimation Solution Infinx Healthcare
  • 2. Infinx Overview  Technology driven Healthcare Revenue 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
  • 4. Introducing Infinx Pre-Auth & Insurance Verification Solution Prior-Authorization + Insurance Verification + Patient Pay EstimationPrior-Authorization + Insurance Verification + Patient Pay Estimation HL7 INTEGRATION FOR iBRIDGE iBRIDGE Workflow Platform KNOWLEDGE BASE - RIGHT SKILLS & EXPERTISE
  • 5. Challenges Faced by Doctors managing Pre-Auths
  • 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 Prior-AuthorizationPrior-Authorization Automated Insurance VerificationAutomated Insurance Verification Automated Patient Pay EstimationAutomated Patient Pay Estimation Handles end-to-end prior-authorizations and tracks status instantly Automates the verification process & enables faster approvals in minutes Estimates patient responsibility at the point of service (calculates co-pays, deductibles & out of pocket)
  • 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 Approval Rates for Prior Authorizations Fewer Escalations & Faster Approvals Improved Process Efficiency & Profitability Increased Performance for Radiology Centre
  • 12. Thank You Contact us at sales@infinxinc.com www.infinxinc.com