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What is PAHub?

As the volume of Prior Authorizations continues to rise, coupled with the complexities brought about by specialty medications, Health Plans, Pharmacy Benefit Managers (PBMs), and Third-Party Administrators (TPAs) encounter considerable hurdles in their efforts to improve both operational and clinical efficiencies. PAHub emerges as a HITRUST-certified solution that offers a robust suite of tools aimed at optimizing all clinical, compliance, and administrative aspects of Prior Authorization right at the point of care, ultimately leading to improved compliance and reduced turnaround times and costs. By leveraging advanced technologies such as data mining, analytics, content management, and sophisticated decision support systems, PAHub enables organizations to automate the entire prior authorization process seamlessly. This progressive methodology not only streamlines the workflow but also enhances the overall healthcare experience for providers and patients alike. As the healthcare environment continues to evolve, solutions like PAHub are increasingly vital for organizations that wish to adapt to the ever-growing demands of contemporary medicine while ensuring quality care delivery. Ultimately, embracing such innovative solutions is key to thriving in a competitive healthcare landscape.

What is Cohere Unify?

The Cohere Unify platform significantly improves our intelligent prior authorization solutions by incorporating touchless and predictive technologies, evidence-based clinical content, and a variety of advanced features. Through the application of these technologies, we can drastically reduce or entirely eliminate the manual steps needed to achieve a seamless, fully automated prior authorization process. This predictive capability enables health plans to almost completely do away with the conventional stages of prior authorization. As a result, the system is capable of autonomously creating customized care plans based on patient and population authorization and claims data, allowing for the pre-approval of multiple services prior to any actual requests. We utilize evidence-supported clinical criteria tailored for specific specialties, which work in harmony with our touchless and predictive technologies. Our platform also includes dependable single sign-on functionalities compatible with popular portals like Availity and NaviNet. Moreover, the validation of our rules configuration and implementation demonstrates its effectiveness in managing transactions across millions of cases, highlighting the scalability and robustness of our system. Ultimately, this cutting-edge approach not only enhances operational efficiency but also improves accuracy in healthcare processes, benefitting all stakeholders involved. With such advancements, we are paving the way for a more streamlined and effective healthcare system.

Media

Media

Integrations Supported

Integrations Supported

Availity
NaviNet Open

API Availability

API Availability

Pricing Information

Pricing not provided
Free Version

Pricing Information

Pricing not provided

Supported Platforms

SaaS

Supported Platforms

SaaS

Customer Service / Support

Web-Based Support

Customer Service / Support

Standard Support
Web-Based Support

Training Options

Not specified

Training Options

Documentation Hub
Webinars
On-Site Training

Company Facts

Organization Name

Agadia Systems

Company Website

www.agadia.com

Company Facts

Organization Name

Cohere Health

Company Location

United States

Company Website

coherehealth.com/unify-platform

Categories and Features

Hospital Management

Accounting Integration
Appointment Scheduling
Medical Billing
Patient Records Management
Physician Management

Prior Authorization

Not specified

Categories and Features

Prior Authorization

Not specified

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