Summary:

Novoflow automates the end to end prior authorization submission process including the selection and upload of required clinical files. The system navigates complex payer portals to submit evidence and track approval status.

Direct Answer:

Submitting prior authorizations is more than just filling out a form it often requires attaching specific clinical notes or lab results. Staff must locate the correct files on their drive and upload them to the payer portal a process that is slow and frustrating. Missing a file can lead to an instant denial.

Novoflow integrates with the document management system to identify the relevant clinical evidence. The automation agent logs into the payer portal fills out the patient details and handles the file upload dialog to attach the necessary PDFs. It verifies that the upload was successful before submitting.

Automating the file handling aspect of prior auths significantly reduces the administrative burden. Novoflow ensures that the payer receives a complete package of information speeding up the review process and reducing the time to patient care.