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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
saved per month
0 hrs
labor cost/month
-$ 0
labor cost/year
-$ 0

In 2 months

These results could be yours

*Based on our customers' results
saved per month
0 hrs
labor cost/month
-$ 0
labor cost/year
-$ 0

AI-DRIVEN AUTHORIZATION PLATFORM

Automate your authorizations

AI-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)

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Authorization platform Impact and Results

significant improvements for your operations

Increased 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