Passage
Authorisation Problems Are Scheduling Problems
Passage checks the patient, the plan and the planned service, determines whether authorisation may be required, and helps your staff assemble the justification and documentation before the appointment rather than after the denial.
Most practices discover authorisation requirements from a denial
Prior authorisation is consistently among the heaviest administrative burdens in practice, and it delays care. It is also entirely a process problem, which means it responds to process discipline rather than to effort.
Passage checks the patient, insurance plan and planned service and determines whether authorisation may be required, before the service is delivered rather than after the claim comes back.
Where authorisation is needed, it helps prepare the clinical justification and identifies the supporting documentation. Your staff review the request and submit it through the payer's own process, because that is where judgement and accountability belong.
Capabilities
What's included
Know the authorisation is needed before the appointment
Requirement detection before service
The requirement is identified while the appointment can still be rescheduled, which is the only point at which it is cheap.
Justification drafting
Clinical justification is drafted from the record, so staff edit rather than compose from nothing.
Documentation identification
The supporting documentation a payer will expect is identified from the chart rather than hunted for.
Works with manual payer processes
Payer portals and manual submission workflows are supported, because most authorisation still runs that way.
Why it matters
The outcomes practices actually measure
We are evaluated on the numbers that change in your operation, not on features shipped or tickets closed.
- Fewer avoidable delays in care
- Requirements found before the appointment are a scheduling adjustment. Found afterwards, they are a cancelled procedure.
- Fewer authorisation denials
- Authorisation-related denials are among the most preventable categories, and nearly all of them are timing failures.
- Less staff time spent searching
- Assembling justification and documentation is most of the work, and it is the part that benefits most from a draft.
- Requirements captured as knowledge
- What each payer requires for each service stops living in one coordinator's head and in their personal spreadsheet.
How it works
What working with us looks like
- 1
Check patient, plan and service
The patient, their insurance plan and the planned service are checked together, since the requirement depends on all three.
- 2
Determine the requirement
The system determines whether authorisation may be required, ahead of the date of service.
- 3
Prepare the justification
Where needed, clinical justification is drafted and the supporting documentation is identified from the record.
- 4
Staff submit
Staff review the request and submit it through the payer's process. Submission is a human action.
Frequently paired with
FAQ
Passage, frequently asked questions questions
- Does Passage submit the authorisation?
- No. It determines whether authorisation may be required and prepares the request. Staff review it and submit it through the appropriate payer process.
- How certain is the requirement check?
- It determines whether authorisation may be required based on payer rules and the planned service. Payer policy changes, so the check is a strong signal for staff rather than a guarantee.
- What does it need to work?
- Payer authorisation rules or models, and support for the manual workflows most payers still require.
- Who uses it?
- Prior authorisation staff, patient access teams, clinical administrative staff and billing teams.
We're here to help
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