Coverage and authorization
Know what’s covered before the patient is in the room.
Calvient checks eligibility, assembles the authorization packet, submits it to the payer, and watches it until it comes back. Your billing team handles the ones that need an argument.
01 Process
What happens when an MRI is ordered
-
01
The order posts
We see it within the minute.
-
02
Eligibility is checked
Plan type, deductible met or not, and whether prior authorization is required for this CPT.
-
03
Packet is built and submitted
Office note, treatment history, diagnosis codes, etc. are all assembled and submitted through payer portal.
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04
Status is monitored
Status is checked on a schedule instead of someone remembering to. When approved, it posts to the chart.
[Figure]
[Time saved or ROI for this workflow]
Source: [Customer, period]
02 Your team and Calvient
What your team still does vs what we can handle
Your team
[What your team still does]
Calvient
[What Calvient handles]
We can’t make a payer move faster. What we can do is make sure nothing sits in a queue because someone forgot to check it.
03 From a client
[Quote from a client who owns this workflow]
Book a demo
Bring one broken workflow.
[What happens in the working session]
30-minute working session
- 1 Time
- 2 Your details
- 3 Done
- Invite sent to
- You’ll bring
Add to Google Calendar Add to Outlook Reschedule or cancel
[Not connected to a calendar yet]
These are sample times. Nothing was booked and no invite was sent.