Re-direct is a process where a requested service as part of a prior authorization is re-directed to either a preferred, in-network provider, facility, or both. Typically, to a preferred lower cost option for the payer.
How to Prepare Your Prior Authorization Workflows for CMS-0057-F and Beyond
Our practical checklist and workflow mapping guide helps patient access leaders assess and organize their prior authorization processes before CMS-0057-F’s FHIR-based API requirements take effect in 2027.
