Payer coverage
UMR prior authorization, automated.
Docflow automates prior authorization and benefit checks on the UMR provider portal for self-funded employer plans.
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 UMR.
UMR is UnitedHealthcare's third-party administrator for self-funded employer plans. Because each employer designs its own plan, what needs authorization, and what is excluded, changes from member to member.
- Requirements and exclusions differ by employer plan, so they have to be checked for each patient.
- Plan documents are long, and the answer for one product is easy to miss.
- Getting it wrong means delivering an item the plan won't pay for.
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 UMR asks for.
- 02
Submit it
Docflow signs in to UMR 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.
UMR questions.
Can Docflow check whether a UMR plan excludes an item?
Yes. Docflow reads the member's plan details on UMR and flags exclusions before your team submits or delivers.
Does Docflow need its own UMR 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.
Hand us your UMR 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.
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