PATIENT CLEARANCE

Streamlined prior authorization with deep clinical necessity advocacy.

Rapid payer submission, clinical documentation tracking, and peer-to-peer facilitation expediting approvals and preventing procedure cancellations. We bridge clinical intent with payer coverage rules.

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CORE OPERATIONAL BENCHMARK
<14h

Average Stat Authorization SLA

DISCIPLINE ARCHITECTURE

How ARDA Health-Tech Delivers Operational Precision

A disciplined blend of autonomous software and clinical specialists executing with zero tolerance for administrative error.

SUBMISSION

Algorithmic Payer Routing

Direct submission across payer portals and clearinghouse APIs with pre-populated clinical criteria and diagnostic codes.

CLINICAL

Medical Necessity Packaging

Certified clinical nurses assemble comprehensive medical records, diagnostic imaging, and clinical rationale aligned with LCD/NCD guidelines.

EXPEDITION

Peer-to-Peer Coordination

Direct clinician scheduling and dossier preparation for physician peer-to-peer discussions when initial medical necessity is disputed.

PROVEN OUTCOMES

Measurable Revenue & Efficiency Gains

Clear operational deliverables backed by strict Service Level Agreements (SLAs).

  • ✓ Stat authorization turnaround compressed from 72 hours down to an average of <14 hours
  • ✓ Zero scheduled procedure cancellations due to pending or missing authorization numbers
  • ✓ 98.4% first-time authorization approval rate across high-complexity surgical and diagnostic cases
  • ✓ Comprehensive audit logging protecting providers against retrospective post-service clawbacks

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