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EPRIORAUTH

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CLINICALLY-COGNITIVE PRIOR AUTHORIZATION

Catalyzed Intelligent Solutions

What We Do Get Started


SERVICES


WHAT WE DO

HEALTH PLANS

Exponential Cost Savings with dramatically consistent utilization
determinations. Reliable, highly scalable clinical pre-authorization reports.
Catalytic enhancement of existing architecture/fully interoperable.

Reliable determination audits of ‘under vs ‘over’ and ‘optimal’ clinical
utilization. Determination of clinical ‘all-star’ utilizers. Assessment of
utilization statistics and allocation of network resources. Cloud-based and
scalable within private and public networks/systems.

UTILIZATION REVIEWERS

Markedly enhanced, reliable, inter-reviewer utilization review. Efficient
delivery of highly vetted and consistent clinical ‘authware’ determinations for
provision to payers and providers…Inclusive of seasoned ‘clinician-cognition’,
standards of care, medical literature and clinical guidelines. Interoperable.

MEDICAL NECESSITY CLAIMS ANALYSIS

’Macro-Micro‘ detailed medical necessity analysis, including for contested
cases. This results in efficient delivery of highly vetted/reliable and
consistent clinical claims determinations. Applicable to admin staff and
attorneys; the deeply-clinical’ analytic solution is inclusive of clinical
guidelines, medical literature and care standards.

HEALTH SYSTEMS/PROVIDERS

‘Providers can be providers’ again. Catalyzed/reliable deeply clinical prior
authorization verbiage for patient-specific diagnostics, medications and
procedures. Efficient delivery of highly vetted, reliably consistent
authorization verbiage. EHR neutral/cloud-based.


OUR FOUNDER

DAVE TROTTER

Dave is an accomplished physician executive within provider and payer
utilization sectors. Having seasoned expertise in prior authorization; catalytic
innovation continues as the founder of ePriorAuth.


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EPRIORAUTH

1567 Turner Rd., Shepherdstown, WV 25443
info@epriorauth.com

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