The Coverage Requirements Discovery (CRD) is a component of the Da Vinci HL7 FHIR Project for electronic prior authorizations. CRD enables the exchange of coverage plan requirements from payers to providers at the time of treatment decisions, patient–specific with a goal to increase transparency for all parties of coverage that may impact services rendered, i.e., is prior authorization required, are there other predecessor steps; lab tests required, physical therapy.
What are the KPIs You Should Know for Prior Auth Management and Performance Evaluation?
Learn the most critical metrics to improve your prior auth processes.
