Revix Prior Authorization & Eligibility Verification Tool
Automating Payer Interactions for Faster Patient Care
Manual prior authorizations and eligibility checks slow down care and create costly errors. Revix automates the process so your team can focus on patients, not paperwork.
Key Features
Eligibility Checks
- Real-time insurance verification at scheduling
- Detailed benefits: copays, deductibles, coverage limits
- Instant alerts for missing data or secondary coverage
Prior Authorization Workflow
- Automated PA requirement checks
- Pre-populated forms & AI-driven data extraction
- Automated status checks with real-time updates
Dynamic Payer Rules Engine
- Continuously updated database of payer rules, plan types,
and provider network statuses - Automatic updates to payer logic as policies change
- Ensures accuracy and compliance without manual intervention
Analytics & Reporting
- Track turnaround times, approvals, and denials
- Predict delays with AI-driven risk flags
- Exportable reports for compliance and payer negotiations
Patient Experience
- Automated notifications on approvals
- Transparent upfront cost estimates
- Faster treatment starts
Integration & Connectivity
- Plug-and-play APIs for EHRs, scheduling, and PM systems
- Standards-based interoperability:
- FHIR APIs for real-time data exchange
- EDI 270/271, 278 for eligibility and authorization
- Direct payer integration where available to reduce clearinghouse dependency
- HIPAA-compliant cloud infrastructure
- Role-based dashboards for staff and RCM teams
Benefits At A Glance
Why Revix?
Revix combines automation, dynamic payer rule intelligence, and seamless interoperability into one platform – transforming prior authorization and eligibility verification into a strategic advantage for providers and RCM teams.
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