Understand HIS approvals rules to assure the suitable pathway of approval sending within CHI TAT policy.
Medically audit all received approvals to assure that provided medical data are aligned with contractual terms, TOB, and CHI approval protocol.
Increase number of approved services.
Minimize number of follow up requests.
Minimize rejected cases.
Sending Audit approvals "missed" received from medical and billing teams.
Minimize post submission rejection.