When it comes to benefit verifications, ambulatory surgery centers are under intense pressure to turn around authorizations quickly. However, it’s not uncommon for this crucial task to take longer than expected. Coverage information online is often incomplete, and staff must make multiple calls to payors to close out inquiries and ensure procedural dates are met.

Infinitus’ latest integration with SIS Complete ensures authorizations for ASC customers are completed as quickly as possible. With this integration, ASCs can avoid lag time between patient appointment scheduling and authorization kick off and completion – all with minimal human intervention. This saves staff a considerable amount of time, allows teams to focus on higher value add activities, and ensures patients have a smooth experience.

How the Infinitus – SIS Complete integration works:

When a patient schedules an appointment, SIS Complete automatically sends a request to Infinitus to verify the patient’s benefit information.
Infinitus calls the appropriate Payor and collects several types of data, including Plan Details, Network Status, Surgery Code Coverage, Coordination of Benefits, Authorization Requirements, and Prior Authorization Status.
Once the data is collected and reviewed, Infinitus shares the information with the customer.

What types of calls Infinitus makes on behalf of ASCs

Benefit Verification
Automate Benefit Verification calls to payors in advance of treatment dates to ensure a smooth patient experience and ensure authorizations are complete before claim submission.

Collect data such as:

  • Maximum amount plan pays
  • Referral status
  • Facility and physician network status
  • Plan Details (Ded, OOP, Plan Type)
  • Procedure Cost Share /Coverage Information
  • Coordination of Benefits
  • Speciality Pharmacy
  • Buy and Bill Access

Listen to call

Prior Authorization
Understand which treatments require Prior Authorization (PA) and if those documents are active and on file. Get up-to-date information on Prior Authorization status and reduce claims denials by payors.

Collect data such as:

  • Prior auth department contact information
  • Prior auth status
  • Approval/Denial details
  • Appeal Options

Listen to call

Why ASC customers turn to Infinitus for payor calls

“Benefit and insurance verification are critical processes, but they can be time-consuming and require human intervention, making scalability challenging. Although most payors have a portal, a phone call is still necessary to speak to a representative to ensure accuracy. Infinitus enables us to scale this process without the need for additional personnel, providing a seamless experience for our patients.”- Austin Cheng, Chief Executive Officer at Gramercy Surgery Center