Performing prior authorization reduces backend claim rejections, which has been the top causes of denials in claims. Utilizing our API can improve accuracy and efficiency, while reducing administrative costs and claim denials.
Obtaining the prior authorization denial/approval result early on can give assurance to your patients. Providing early notification of authorization denial to the patient can help their rescheduling process and can establish proper communication with the referring provider to collaborate for your patient care.
Authorization implementations typically require a VPN connection and interface engine. This Authorization API will reduce your organization’s time to implement authorization functionality by integrating directly over a REST API.
Frequently Asked Questions
A: The payer list can be found here: https://community.changehealthcare.com/viewdocument/clearance-patient-access-suite-paye-1?CommunityKey=ac64ad08-ce3f-446b-a3cd-f1011f0dd5cb&tab=librarydocuments
Prior authorization requests can be submitted to any payer that has a value in the Authorization Verification Inquiry Connection column.
A: We do! You can use our Sandbox environment even before signing a contract. It requires a separate set of secure credentials which you can obtain from your Optum representative. After receiving your client_id and client_secret for our Sandbox environment, you can test the API in our interactive documentation. The interactive documentation can be found by following the API Documentation link in the Developer Resources section above.
Stay in touch.
We will treat your information with respect, and we will only use your information in accordance with our Privacy Notice and Terms of Use. By submitting your email above, you agree that we may process your information in accordance with these terms.