Iris Referral
Improve keepage and reduce denials without lifting a finger.
End-to-End Referral & Prior Authorization Management
Streamline your referral and prior authorization processes for greater efficiency by aligning fee-for-service and fee-for-value contracts, insurance coverage, clinician preferences, patient needs and organizational initiatives. Our referral and prior authorization management solutions alleviate care teams’ administrative burden by managing the whole process for you.
What Iris Referral does
Provider Friendly Referral Management
Iris Referral technology leverages cost and quality data, as well as provider preferences to create the best preferred network for your organization. From there, Iris Referral will identify the best specialist for the patient, coordinate scheduling, and ensure the patient completes the visit. Unlike many referral management processes that are mostly manual today, Iris Referral automates the process and “closes the loop” to ensure better patient care and reduced administrative burden on your care teams.
Prior Authorization
Our proprietary technology automates the traditionally manual process of prior authorization. Through a seamless approach combining technology and services, the solution manages the prior authorization across major payors and utilization managers. The tool further builds off payor requirements and denial reasons to ensure prior authorizations are processed and approved prior to a patient visit and denials are reduced on the back-end.
The benefits of Iris Referral
Reduce referral leakage rates
Improve patient care through “close the loop” process
Reduce cancellations and rescheduling due to prior auth issues
Experience ~70% cost reduction to complete prior auths
Contact Us
We look forward to getting a better understanding of your organizational needs and to giving you a demo of our platform capabilities.
