Confirm prior authorization requirements prior to service to lower administrative costs and avoid denials.
Managing prior authorization requirements is an extremely manual and time-consuming process. Registration staff members use spreadsheets, binders and sticky notes to keep track of authorization requirements and constant changes to payer rules.
Streamline this process with TransUnion’s Prior Authorization solution. The solution confirms if an authorization is required for medical procedures prior to service by accessing TransUnion’s Prior Auth LibrarySM, which contains more than 1.5 million continually updated payer-specific prior authorization rules for more than 16,000 procedure codes.
With Prior Authorization, you can:
Find out today how you can streamline your prior authorization process and improve staff efficiency.
Comprehensive rules library, covering 92% of insured lives
Regular updates to prior authorization rules, ensuring you have access to the most up-to-date and accurate requirements across payers
Easy access to both payer-published rules and provider’s custom rules–all in one place
Seamless integration with TransUnion Healthcare’s ClearIQ solution