Payers still rely on manual fax/phone workflows and differing medicalnecessity checklists. Finnastra submits electronically wherever allowed, uses payerportal APIs, and chases decisions daily cutting average turnaround from 7–14 days to < 48 hours.
Missing clinical notes, inaccurate CPT/HCPCS codes, or expired eligibility cause > 70 % of PA denials. Finnastra’s presubmission checklist validates coverage, codes, and documentation to achieve > 95 % firstpass approval.
Most payers need
Our team compiles payerspecific packets automatically, so nothing is missed.
We operate on HIPAAcompliant, SOC 2–audited cloud infrastructure, with rolebased access and endtoend encryption for all payer transmissions and document storage, ensuring data security and audit readiness.
Finnastra’s dashboard syncs with payer portals and flags realtime status (pending, approved, additional info, denied). Automated reminders ensure no request languishes past the payer’s clock.
Our rules library updates nightly with CMS, Medicare Advantage, and commercial bulletins. Each new edit is built into our PA templates, protecting you from retrodenials or clawbacks.
Absolutely. We offer API/HL7 connections for Epic, Athena, eClinicalWorks, and more, auto‑populating patient data and pushing approvals back into your charting system.
Yes—the AMA reports 94 % of physicians say care is delayed, and 30 % report serious adverse events tied to PA lag. By cutting wait time, Finnastra helps keep treatment on schedule and patients safer.
A P2P is the insurer’s clinical review after an initial denial. Our specialists schedule and prepare providers for P2P calls—or conduct them on your behalf when allowed—reversing up to 70 % of first denials.
Highauth fields—Oncology, Cardiology, Spravato, Radiology, Mental Health, DME, and Specialty Pharmacy—see the biggest ROI. Finnastra’s workflows are prebuilt for each specialty’s typical drug and procedure lists.
