Profility AI-Driven Authorization Platform
automate your authorizations
Profility’s first-of-its-kind, AI- and machine learning-powered platform is designed to streamline and automate the complex process of creating and managing authorizations for managed care patients in skilled nursing and home health settings. This platform radically enhances the efficiency of case managers and providers by integrating directly with EMR systems and analyzing managed care contracts in real time.
- AI-enabled Authorization Generation
- Contract Intelligence & Reimbursement Optimization
- Advanced Data Integration
- Time-Saving Workflow Automation
In 2 months
These results could be yours
*Based on our customers' results
In 2 months
These results could be yours
*Based on our customers' results
AI-DRIVEN AUTHORIZATION PLATFORM
Automate your authorizationsAI-Enabled Authorization Generation
Automatically generates new and ongoing prior authorizations by pulling relevant patient data from electronic medical records
Contract Intelligence & Reimbursement Optimization
The system reviews and highlights all critical and relevant information to support the patient’s needs and level of care
Advanced Data Integration
Facilitates data extraction of all documents that support patient needs into an organized, triaged view
Audit & Denial File Creation
Compiles all required and relevant supportive documentation needed for data requests
Insightful AI Summaries
Provides intelligent summaries along required timelines to easily view level of care requirements
Scalable, HIPAA-COMPLIANT, multi-facility infrastructure
Designed to support high-volume referral and authorization environments with a robust, enterprise-ready architecture (20-25K cases currently processed per month)
Authorization platform Impact and Results
significant improvements for your operationsIncreased admissions
More patients captured, less referral leakage
Improved reimbursement accuracy
Expanded margins through better acuity capture
Faster intake
Shorter delays and fewer missed referrals
Reduced denied claims
Less revenue loss from compliance gaps
Fewer vendor contracts
Lower cost, simpler operations
