We provide benefit managers an overlay solution that adapts to core systems and offers a system of record for managing and auditing the prior authorization (PA) process and associated processes including interactions with providers and consumers. Trivium Health is a highly secure and configurable framework that streamlines processing, from simple referrals and notifications through complex in-patient or pharmacy authorizations with guidelines.
- Referrals and Authorizations - a comprehensive workflow-driven system
- Appeals and Grievances - Clinical Guideline Control with existing or integration (e.g. with DRUGDEX) - CMS Compliance Excellence - Pre-emptive Fraud Waste and Abuse processing and management
- Document Management (e.g. Marketing, Enrollment Forms, Appeals, etc.) - Configurable to Manage Multiple lines of Business and Customers
- Adjustable rules-based processing
By implementing our solution for Prior Authorization, Health Plans and Pharmacy Benefit managers can slash administrative and clinical costs while upgrading systems to meet CMS compliance.
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The Trivium Health Value Proposition
- Over 1 Million Man-Hours of Design, Development, Testing and Refinement
- Case Study: Large Customer - Year 1 ROI & CMS Compliance Excellence
- Collapsed Implementation Time with Solution that "Plugs In" to Existing Systems
- Upgrade Service Levels Enabling Optimal Provider and Consumer Experiences
- Partnerships with Industry Experts and Healthcare Technology Market Leaders
