Meet PAULA
Voice Enabled
Transform your prior authorization process from a burden into a competitive advantage.
Automated Submissions
Transform the way your practice manages prior authorizations by cutting manual workloads and approval times. PAULA stays current with payor requirements and checks each patient’s health plan policy to determine prior authorization requirements, and then submits all the needed information to payors with perfect accuracy.
Intelligent Appeals
Keep track of your authorizations in real-time, improving visibility and reducing delays in patient care. PAULA monitors the status of all requests until they reach a resolution, automatically follows up with payors, and generates appeal letters for denials with all the necessary supporting clinical evidence.
All Features
Description
Voice Enabled
Voice Enabled PAULA automates prior authorization calls to insurers, ensuring swift approvals and freeing you from manual follow-ups to improve patient access to timely care.
Real-Time Status Tracking
Provides real-time updates on the status of authorization requests, allowing healthcare providers to monitor approvals, denials, and any need for additional information quickly.
Efficient Insurance Verification
Automatically verifies insurance coverage requirements to ensure the correct PA is submitted, minimizing the risk of rejections.
Multi-Channel Submission
Submits authorizations through various channels including web portals and phone (in BETA), ensuring compliance with payer-specific requirements and preferences.
Seamless Integration with EHRs
Integrates smoothly with existing EHR systems, extracting relevant patient and treatment information directly, ensuring a streamlined process.
Dynamic Adaptation to Payer Rules
Easily updates rules and processes to adapt to different payer requirements, ensuring submissions meet specific payer guidelines and reduce denial rates.
Denial Management & Resolution
Detects and flags rejected authorizations, guiding staff through quick resolutions, appeals, or alternative treatment options, thus speeding up the entire process.
Detailed Reporting & Analytics
Generates insights and reports on PA trends, approval rates, and reasons for denials, helping healthcare providers optimize their authorization strategies and improve financial outcomes.
Scalable Across Practice Sizes
Designed to handle high volumes of PA requests effortlessly, making it suitable for both small practices and large healthcare networks with diverse and complex authorization needs.
Enhanced Security & Compliance
Ensures all PA-related data is securely managed and complies with regulatory standards, maintaining the confidentiality of patient information.
Automated Prior Authorization Requests
PAULA quickly processes and submits prior authorization requests, reducing the time and manual effort needed to get approvals from payers.
Cara Perry
VP of Revenue Cycle Management
Signature Dental Partners
It's like training a perfect employee, that works 24 hours a day, exactly how you trained it.
Cara decreased days sales outstanding to 45% below industry standards
Thoughtful's AI agents can operate all of your systems.