Utilization Management for Healthcare Insurance Analytics
It tracks how many authorizations have been made till date, and helps you map against those rejected. Helps you understand how to address rejected cases, or identify fraudulent services made.
Number of authorization by status and service type
This breaks the above metric down and categorizes authorizations by status and service type. Benefits are in terms of tracking your business performance.
Timeliness and approval percentage based on authorization type
Authorizations can differ as well, based on certain parameters dependent on the provider and service. Use this metric to know the timeliness and share of approvals based on authorization types.