Coverage & Requirement Checks

Coverage & Requirement Checks Within Your PA Workflow

Reduce avoidable denials caused by incomplete coverage information. AuthParency helps confirm relevant plan and requirement details as part of the prior authorization process, not as a standalone eligibility platform.

See It in Action

Configured

Payer Connections Set Up During Implementation

Fast

Response Times, Where Supported

Reviewed

Data Checked Against Available Sources

Compatible

Works Alongside Your EHR

Core Features

Supporting Cleaner Submissions

Payer Connectivity

Coverage details are checked through supported payer connections established during implementation and expanded over time.

Multi-Level Verification

Check network, payer, location, and plan details relevant to a specific request, helping catch discrepancies before submission.

Coverage Discovery

Help surface coverage options that may otherwise be missed for patients with complex or changing insurance situations.

Documentation Support

Coverage information is organized for staff review as part of the broader prior authorization workflow.

WHY AUTHPARENCY

Fewer Avoidable Denials

Many denials trace back to incomplete or outdated coverage information. AuthParency's coverage checks help surface gaps and mismatches earlier in the workflow, before a request reaches the payer.

Helps reduce denials caused by incomplete or incorrect coverage information
Presents results in a clear, easy-to-read format for billing and clinical staff
Business Rules Engine to add your staff's payer knowledge into the workflow
Coverage checks integrated into your broader EHR workflow
Batch checks for scheduled patient rosters, where configured
Alerts for coverage changes identified during the workflow

The Real Cost of Eligibility Errors

30% of all claim denials are eligibility-related

$25 average cost to rework a single denied claim

65% of denied claims are never resubmitted

2-3% of annual revenue lost to preventable denials