Workers' Comp Prior Authorization Solutions

Experience simple physician to authorizer conversations, quick resolution of RFAs, a comprehensive audit trail, and increased efficiency.

Technology to Meet Your Needs

The Solution for Pre-Authorization of Medical Treatment on Workers’ Compensation or Auto Med Pay Claims

EDI Powered Solutions

Available stand-alone or as a component of our workers’ comp clearinghouse and EDI solutions, with Swiftivity coordinators are able to connect to any adjuster, anywhere, at any time.

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In today’s fast paced environment amidst the rapid adoption of telemedicine, Swiftivity’s® e-authorization solution is an easy to use, effective, and comprehensive software platform for simplifying workers’ comp prior authorization requests as well as auto medical pay.

 

Simple, Streamlined Deployment

We supply payors and providers with a system that not only streamlines the authorization process, but is easy to implement. In fact, all that is needed for payors to receive an authorization from Swiftivity® is a valid email address and a simple safelist addition. For providers, our simple (yet perfected) mapping process ensures nothing needs to be re-keyed on the payor side.

Ease of Use For Both Payors & Providers

As part of our workers’ comp clearinghouse solution, providers and payors have access to separate, secure e-authorization portals accessible at any time. Requests can be sent in batches — saving precious time and improving the revenue cycle. All with HIPAA compliant security, P2P communication is further enhanced with automation in our unique call scheduling system.

Tech-Enabled eAuth

Your prior authorization system shouldn’t be labor-intensive. As prior authorizations become increasingly more complex, maintaining spreadsheets and manual entries will become more cumbersome and costly. Our intuitive workflows minimize delays and errors, while promoting time-efficient activities.

 Key Benefits

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Experience Swiftivity®

Connect with our team to see the difference automation & EDI makes for your workers’ compensation RFAs

PROVIDER

Per Click

Core
$1.00
Every month
$10.00
Every year

Access to Portal

Transactions Per CIick

Conference Call-Per Usage

ODG (Available If Desired)

MTUS-MDGuidelines (Provided by State of California)

No Integration

e-Signature (optional)

Two Licenses Mandatory

1 Physician-NPI

1 Admin

Training classes

No Account Management

Help Desk (Ticket System)

Reporting Through Portal/ Canned Reports

Core Plus
$1.00
Every month
$10.00
Every year

Single Sign On (Optional)

Transactions Per CIick

Conference calls (100/month)

ODG (Available If Desired)

MTUS-MDGuidelines (Provided by State of California)

EHR Integration (Swiftivity® Explains What to do)

e-Signature (100/month)

Two Licenses Mandatory

2-4 Physician-NPI

1 Admin

Dedicated Training

Telephonic Account Management

Help Desk (Ticket System)

Reporting Through Portal/ Canned Reports

+

Business-Intelligence

Two Customized Reports

Subscription

Advanced
$1.00
Every month
$10.00
Every year

Single Sign On (Optional)

Transactions (100/month)

Conference calls (100/month)

ODG (Available If Desired)

MTUS-MDGuidelines (Provided by State of California)

EHR Integration (Swiftivity® Explains What to do)

e-Signature (100/month)

Two Licenses Mandatory

2-4 Physician-NPI

1 Admin

Dedicated Training

Telephonic Account Management

Help Desk (Ticket System)

Reporting Through Portal/ Canned Reports

+

Business-Intelligence

Two Customized Reports

Ultra
$1.00
Every month
$10.00
Every year

Single Sign On

Transactions (500/month)

Conference calls (500/month)

ODG (Available If Desired)

MTUS-MDGuidelines (Provided by State of California)

EHR Integration (Swiftivity® Provides)

e-Signature (500/month)

Two Licenses Mandatory

5-10 Physician-NPI

2 Admin

Dedicated Training (In Person Optional)

Dedicated Account Management

Help Desk (Via Account Management)

Reporting Through Portal/ Canned Reports

+

Business-Intelligence

Four Customized Reports

Enterprise
$1.00
Every month
$10.00
Every year

Single Sign On

Transactions (>500/month)

Conference calls (>500/month)

ODG (Available If Desired)

MTUS-MDGuidelines (Provided by State of California)

EHR Integration (Swiftivity® Provides)

e-Signature (>500/month)

Two Licenses Mandatory

Negotiated Physician-NPI

Negotiated Admin

Dedicated Training (In Person Optional)

Dedicated Account Management

Help Desk (Via Account Management)

Reporting Through Portal/ Canned Reports

+

Business-Intelligence

Four Customized Reports

10% of unused PA’s roll over each month based on set allotment

PAYOR

Core
$1.00
Every month
$10.00
Every year

Access to Portal

Transactions Per CIick

Conference Call-Per Usage

ODG (Available If Desired)

MTUS-MDGuidelines (Available If Desired)

e-Signature (optional)

Two Licenses Mandatory Adjuster(s) / UR 2

Training classes

Telephonic Account Management

Help Desk (Ticket System)

Reporting Through Portal/ Canned Reports

Core Plus
$1.00
Every month
$10.00
Every year

Single Sign On (Optional)

Transactions Per CIick

Conference calls (100/month)

ODG (Available If Desired)

MTUS-MDGuidelines (Available If Desired)

e-Signature (100/month)

Two Licenses Mandatory Adjuster(s) / UR 3-10

Dedicated Training

Telephonic Account Management

Help Desk (Ticket System)

Reporting Through Portal/ Canned Reports

+

Business-Intelligence

Two Customized Reports

Advanced
$1.00
Every month
$10.00
Every year

Single Sign On (Optional)

Transactions (100/month)

Conference calls (100/month)

ODG (Available If Desired)

MTUS-MDGuidelines (Available If Desired)

e-Signature (100/month)

Two Licenses Mandatory Adjuster(s) / UR 3-10

Dedicated Training

Telephonic Account Management

Help Desk (Ticket System)

Reporting Through Portal/ Canned Reports

+

Business-Intelligence

Two Customized Reports

Subscription

Ultra
$1.00
Every month
$10.00
Every year

Single Sign On

Transactions (500/month)

Conference calls (500/month)

ODG (Available If Desired)

MTUS-MDGuidelines (Available If Desired)

e-Signature (500/month)

Two Licenses Mandatory Adjuster(s) / UR 11-50

Dedicated Training (In Person Optional)

Dedicated Account Management

Help Desk (via Account Management)

Reporting Through Portal/ Canned Reports

+

Business-Intelligence

Four Customized Reports

Enterprise
$1.00
Every month
$10.00
Every year

Single Sign On

Transactions (>500/month)

Conference calls (>500/month)

ODG (Available If Desired)

MTUS-MDGuidelines (Available If Desired)

e-Signature (>500/month)

Two Licenses Mandatory Adjuster(s) /UR>50

Dedicated Training (In Person Available)

Dedicated Account Management

Help Desk (via Account Management)

Reporting Through Portal/ Canned Reports

+

Business-Intelligence

Four Customized Reports

Per Click