Handle provider requests 24/7 with automated technology
The Interactive Voice Response (IVR) system offer providers instant access to information and reduces administrative expenses associated with call volumes and call center staffing, while improving quality of service to providers and increasing provider satisfaction. Our system meets all HIPAA logging requirements.
Our IVR system answers inquiries about eligibility, claims, benefits and more 24 hours a day, seven days a week. IVR and fax together allow providers to request information be sent via a phone keypad. The IVR responds to the provider’s inquiry with a verbal playback and includes an option to have a fax sent to their office.
Two type of authorization services
Basic – Providers submit requests for pre-certification and authorization referrals. A forms-based data capture tool collects the authorization request and transfers to you via a CVS file or a EDI 278 transfer.
Auto Approve – Providers submit requests for pre-certification and authorization referrals, and you set auto approval rules to preauthorize requests. Data is sent to you via an EDI 278 transfer.
Interactive Voice Response (IVR)/fax system features
Contents on the fax can include:
- Claim status
- Accumulator status
- Flexible spending account balance
- Benefit summaries
- Web-based administrative and customer service dashboards allow you to view transactions, track and report on usage