Complete financial context
See the patient, provider, payer, encounter, contract and claim relationships behind every task.
Prior AuthorizationConnected capability
Prior Authorization
Coordinate clinical evidence, payer rules, submissions, follow-up and validity periods.
Connected to Celeris OSProvider · Organization · Location · Relationship · Workflow
CELERIS / CINEMATIC STATE 02Revenue NetworkRevenue Network · interactive operating model
Revenue NetworkPatient Access→Prior Authorization→Connected outcome
End-to-end workflow
From initiation to measurable outcome.
01AccessInitiate prior authorization
02VerifyPreserve context and advance work
03DocumentPreserve context and advance work
04CodePreserve context and advance work
05SubmitPreserve context and advance work
06AdjudicatePreserve context and advance work
07PayPreserve context and advance work
08ImproveFeed results into intelligence
Information model
Every decision needs context.
Prior Authorization operates with the same master healthcare entities as the rest of Celeris. That means work never loses the organization, provider, location, payer, patient, team or relationship that gives it meaning.
Prior AuthorizationProviderOrganizationLocationPayerRelationshipWorkflow
Connected before and after
No dead-end workflows.
Upstream connectionCurrent capability Downstream connection
Eligibility & Benefits Verification
Translate payer responses into actionable coverage, cost-share and authorization guidance.
Explore ↗Prior Authorization
Coordinate clinical evidence, payer rules, submissions, follow-up and validity periods.
Shared Celeris contextReferral Management
Track referral requirements, documents, visits, expirations and closed-loop communication.
Explore ↗Designed across healthcare
One capability, different operating realities.
Celeris adapts prior authorization to this organization’s scale, relationships and workflow requirements.
Celeris adapts prior authorization to this organization’s scale, relationships and workflow requirements.
Celeris adapts prior authorization to this organization’s scale, relationships and workflow requirements.
Celeris adapts prior authorization to this organization’s scale, relationships and workflow requirements.
Celeris adapts prior authorization to this organization’s scale, relationships and workflow requirements.
Prior Authorization