Payer coverage
Quantum Health prior authorization, automated.
Docflow automates prior authorization for employer plans that use Quantum Health care coordination.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.
What your team deals with on Quantum Health.
Quantum Health coordinates care for large self-funded employers. Its care coordinators sit between the provider and the employer's health plan, and handle authorizations for the members they serve.
- The member's underlying plan still sets the rules, so both have to be checked.
- Requests need clean clinicals so a coordinator can act on them quickly.
- Follow-up is easy to lose when it goes through a separate team.
From order to decision, without your team logging in.
- 01
Build the request
Docflow reads the order and clinicals from your system and fills in everything Quantum Health asks for.
- 02
Submit it
Docflow signs in to Quantum Health with your team's login, submits the request and attaches the documents.
- 03
Follow it to a decision
Docflow checks back every 12 hours until there's a decision, and flags any request for more information to your team.
- 04
Write it back
The decision and authorization number land in your system, on the right order, with a record of every step.
Quantum Health questions.
Does Docflow follow up with Quantum Health until there's a decision?
Yes. Docflow checks status on a schedule and logs the outcome in your system once it's decided.
Does Docflow need its own Quantum Health account?
No. Docflow uses your team's login, stored encrypted, so requests are submitted under your organization like they are today.
How long does it take to get started?
Start with a 30-day pilot on your real work. If you're not satisfied, you get a full refund.
Other portals Docflow submits on.
Hand us your Quantum Health queue.
Start with a 30-day pilot, fully refundable if you're not satisfied.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.