Payer coverage
UnitedHealthcare / Optum prior authorization, automated.
Docflow automates UnitedHealthcare and Optum prior authorizations on the UnitedHealthcare Provider Portal, from submission through decision.
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 UnitedHealthcare / Optum.
UnitedHealthcare takes prior authorization and notification requests through its own provider portal, behind a One Healthcare ID login. It covers commercial, Medicare Advantage and Community Plan members, each with its own rules.
- Commercial, Medicare Advantage and Community Plan members follow different requirements.
- Logins use multi-factor authentication, which breaks most simple automation.
- Requests can pend for more information, and a missed request turns into a denial.
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 UnitedHealthcare / Optum asks for.
- 02
Submit it
Docflow signs in to UnitedHealthcare / Optum 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.
UnitedHealthcare / Optum questions.
How does Docflow handle UnitedHealthcare's multi-factor login?
Docflow signs in with your team's credentials and handles the one-time codes, so submissions run around the clock without someone standing by.
What happens if UnitedHealthcare asks for more information?
Docflow catches the request on its next status check and flags it to your team with what's being asked, so it gets answered before the deadline.
Does Docflow need its own UnitedHealthcare / Optum 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 UnitedHealthcare / Optum 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.
HIPAA compliant
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