RelayHealth Financial, a subsidiary of McKesson, notified industry stakeholders Monday that its prior authorization solution now includes more than 635,000 payer-specific policy screening rules from 549 commercial, managed care and government health plans.
The solution aims to streamline prior authorization processes for providers by notifying staff to payer policy updates in real-time.
"RelayHealth Financial understands the many challenges of authorization, including the constant changes to payer policies, which occur daily," Janet Cutcliff, vice president of patient access solutions at RelayHealth, said in a prepared statement. "That's why we take on the complexity — continually monitoring, evaluating and updating our payer policy knowledge base — so our customers can be confident that their authorization screening and verification is based on the most current information."
Through the size of its policy database, RelayHealth estimated the solution reaches 90 percent of covered lives.