福利导航

At 福利导航, we believe accessing healthcare should be simpler and we are committed to doing our part to improve member and provider experiences.

While prior authorization serves a critical function in aligning member care with clinical standards, there is no shortage of challenges our members and providers face when navigating the process.

This is why we are partnering with and other health insurance companies to improve prior authorization for the people we collectively serve. By coming together as an industry, we can make more meaningful progress faster for more Americans.

Together, we鈥檝e highlighted focus areas that reflect our shared responsibility and commitment to delivering continued meaningful impacts by:

• Standardizing Electronic Prior Authorization
• Reducing the Scope of Claims Subject to Prior Authorization
• Ensuring Continuity of Care When Patients Change Plans
• Enhancing Communication and Transparency on Determinations
• Expanding Real-Time Responses
• Ensuring Medical Review of Non-Approved Requests

鈥淎贬滨笔鈥檚 reinforces what we at 福利导航 have always stood for: leading with transparency and trust, fostering collaboration with our provider partners, and putting the needs of our members first,鈥� said CEO Sarah London. 鈥淭rue healthcare transformation is hard 鈥� but we can move faster when we work together as an industry.鈥�

While there鈥檚 still work to do to make healthcare work better, this collective commitment is a step in the right direction and reflects 福利导航 broader efforts to embrace a more digital, efficient future and improve how care is delivered and experienced.

We鈥檙e proud to continue driving this work forward together.