The current prior authorization process in healthcare involves significant administrative overhead, leading to delays in patient care and increased operational costs for both payers and providers. Manual processes and disparate systems result in missing or incorrect information, slowing down decision-making and burdening healthcare professionals.

Mesh Health Solutions offers an automated prior authorization gateway that integrates with existing healthcare software to streamline information exchange between payers and providers. By capturing necessary data and automating administrative tasks, Mesh reduces the burden associated with prior authorizations. The platform facilitates faster and more accurate healthcare decisions, optimizing workflows and fostering a more patient-centric environment. Mesh operates behind the scenes, taking in data from any source and filtering what’s most important, allowing teams to focus on critical information.

Integrates with existing healthcare software to automate prior authorization processes.

Smart on FHIR app allows health plans to interface with provider EHRs, seamlessly integrating clinical data.

Captures necessary data for prior authorization decisions, filtering out irrelevant information.

Facilitates a standard way for payers to exchange information with providers about member care.

Optimizes workflows to reduce operating expenses and administrative burdens.

Supports the proposed PARDD APIs in combination with Mesh’s process optimization capabilities.

The primary target audience includes healthcare payers and providers seeking to reduce administrative costs, streamline prior authorization workflows, and improve the efficiency of healthcare delivery.