NHI PriorAuth SIGNAL

iOS app by Nexus Health Informatics. Medical · Nexus Health Informatics

Store rating
0 / 5
Store rating count
0
Download price
Free to download
In-app purchases
Unknown
Version
1.0.0
Listing last refreshed
2026-09-18

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Store description excerpt

PriorAuth SIGNAL by Nexus Health Informatics brings authorization intelligence to care teams managing prior authorization workflows. Prior authorization delays care. SIGNAL gives clinicians and staff a single view of every request, surfaces the ones that need attention now, and uses AI to turn denial letters into ready-to-review appeal drafts. KEY FEATURES • Live request queue — see every prior authorization at a glance, with urgent items (under 24 hours) flagged automatically • Today's Signal — a daily alert that highlights the single most time-sensitive event, like an appeal window closing • AI appeal drafting — generate a structured appeal draft from the denial reason and clinical notes, ready for clinician review and editing • Turnaround insights — approval rates, average decision times, and volume by payer • Status tracking — follow each request from submission through approval, denial, or appeal BUILT FOR INTEROPERABILITY SIGNAL is designed around the CMS-0057-F electronic prior authorization standard and connects via an HL7 FHIR sandbox. SANDBOX ENVIRONMENT This app operates in a demonstration sandbox with synthetic data only. It contains no protected health information (PHI), uses fictional payer names, and does not submit requests to real insurers. AI-generated drafts are decision-support content and always require review by a qualified professional before use. ABOUT NEXUS HEALTH INFORMATICS Nexus Health Informatics builds informatics tools that reduce administrative burden in healthcare so care teams can focus on patients.

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