Affinitē IPA for Health Plans
Transform prior authorization with an intelligent solution that harnesses AI and advanced automation
Gartner Recognizes Vital Data Technology as Leading Intelligent Prior Authorization Vendor
Vital Data Technology is proud to be recognized by Gartner, the world's leading research and advisory company, as a top intelligent prior authorization vendor. This acknowledgement, featured in Gartner's Market Guide for Intelligent Prior Authorization, U.S. Healthcare Organizations, highlights our commitment to delivering integrated, cloud-based utilization management solutions, and reinforces our position as a leader in transforming healthcare with innovative, next-generation technology.
It's Time to Transform Prior Authorization
Prior authorization remains one of the biggest obstacles to the delivery of timely, often life-saving healthcare. Inefficient processes exert a heavy administrative burden on payers, providers and patients alike. Federal and state regulations encourage technology modernization, but lack of interoperability and legacy technology hinder real adoption.
Health plans need a real-time, dynamic solution that intelligently automates the entire prior authorization process for a seamless, transparent and collaborative experience.
Intelligent prior authorization technology gives payers the ability to lay the foundation to transform care delivery, paving the way for streamlined, patient-centric healthcare.
The Affinitē IPA Solution
Tailored specifically to meet the needs of payers, Vital Data Technology's Intelligent Prior Authorization (IPA), part of our end-to-end Affinitē Utilization Management (UM) solution, leverages advanced automation to streamline workflows, verify benefits, and handle time-consuming administrative tasks. With the help of our CareFlow Rules Engine, Affinitē IPA empowers health plans to design customized authorization rules that align with their individual business requirements and regulatory obligations.
Affinitē IPA incorporates cutting-edge AI adjudication logic that analyzes utilization data and suggests enterprise-level solutions to optimize workflows and drive cost reductions. Additionally, the solution is built on a robust care platform that offers a comprehensive view of member data, including built-in data visualization tools powered by Power BI.
Intelligent Automation
Advanced rules engine automates the identification, triage, and routing of authorization requests based on benefit structure and clinical complexity.
Automated Benefits Check
First-of-its-kind integrated benefit check engine ensures that only necessary requests are reviewed, saving time and significantly reducing workload.
Simplified Physician Review
Make a referral with one simple click, with all information consolidated for staff review. Reduce review time from over an hour to under 15 minutes.
Self-Service Admin Tools
Full configurability gives you the flexibility to design your prior authorization system to meet all regulatory, compliance, in-house reporting, and auditing needs.
Integrated Clinical Content
Access all UM related functions from within the platform including clinical decision making criteria, physician reviews, reporting, chart and audit history, and more.
User-Centered Design
Reduce stress with our user-friendly design that streamlines authorization management by up to 40%, while our easy-to-use interface cuts training time in half.
"I've worked in most utilization management platforms and this is the slickest and easiest to use. It is a total game changer for our Medical Directors."
- Independent Blues Plan Medical Director