Authorization Rules Centre (ARC) Solution for the Healthcare Industry launched by Coforge

5 Sep 2023 , 01:54 PM

The prior authorization procedure for health insurers and providers will be transformed by Coforge Limited’s ARC (authorization Rules Centre), a global provider of digital services and solutions. The firm made the announcement through an exchange filing on Tuesday.

In order to provide a connected, single source of truth for authorization rules, ARC acts as a centralized rules engine. This effective solution gives subject matter experts the ability to directly create and update rules while also providing knowledgeable tools and advice to guarantee correct execution. Through APIs, ARC connects to any system that needs to reference authorization rules and gives real-time responses, removing the need for manual intervention and increasing productivity.

With ARC, healthcare organizations can quickly respond to the following three important questions about authorizations: Does a service need permission? A service may auto-authorize itself. What clinical standards ought to be applied while evaluating a service? The ARC process revolutionizes the process by centralizing authorization rules, giving maintenance to business specialists, enhancing decision accuracy, and raising satisfaction levels among providers, members, and internal personnel.

With the introduction of ARC, we are thrilled to apply our domain and automation knowledge to the prior authorization process, according to Leona Rickerson, Vice President of healthcare solutions at Coforge. A controllable, interconnected, single source of truth for authorization rules is provided by ARC, enabling teams to succeed. Prior authorization friction reduction will open the door for good change in the healthcare industry.

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