Streamline and accelerate prior authorization

The process of authorizing treatment creates enormous burdens and often jeopardizes patient health. Under the CMS Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule, providers and payers will soon face a federal mandate to make e-prior authorization a reality. With OnyxEPA, you get an out-of-the-box solution that streamlines the process from end to end – today.

Reduce burden with seamless bidirectional exchange

Eliminate manual reviews and streamline the prior authorization process to support timely care decisions and actions.

OnyxEPA allows payers to determine whether prior auth is necessary and identify the test results and documentation required to support the request – all in real time.

OnyxEPA supports bidirectional information exchange between providers and payers, works with all payer systems, and meets all HL7 FHIR standards.


Coverage Requirements Discovery (CRD)

Integrates payer queries into your EMR/EHR system


Documentation Template and Rules (DTR)

Employs clinical query language and FHIR questionnaires to define payer requirements for authorization and automatically extracts information from your EMR/EHR system


Prior Authorization Support (PAS)

Bundles required documentation and submits to the payer for immediate determination or flagging for further review

OnyxOS is an out-of-the-box interoperability platform based on FHIR® standards.