Locations
Boston, MA, USA · West Street / River Street, Boston, MA, USA
industry
Health · Hospital & Health Care
Size
1 - 10 employees
founded in
2011
Informatics in Context's (IIC) is a cloud-based healthcare IT pioneer, delivering standards-based innovative solutions that streamline and automate the prior authorization and utilization review process for health plans. IIC's real-time automated prior authorization engine uses ACA's Electronic Data Interchange (EDI) 278 standard for medical outpatient procedures, inpatient, tests, labs, home care, and drugs covered under medical benefits. IIC’s 278 authorization engine is an end-to-end, real-time, and touchless automated prior authorization solution. It allows health plans to fully automate their UM process, with the ability to automate any clinical and business rule. The vast majority of actionable responses to providers is touchless, meaning they do not require human intervention on the provider or payer side. IIC is able to achieve a high level of touchless adjudication by automating all of the payer’s policies, patient benefit rules, clinical guidelines, and business.
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