+97%
Decrease in Staff Time
+95%
Decrease in Errors
50%
Decrease in Time to Fill
client logo
client logo

Operational challenges by the numbers:

Scaling patients means scaling staff. 
+40%
Staff turnover is at an all time high
+5mins
Staff spend over 5 min on new orders
+30%
Average Denial Rate on Prior Authorizations
More than half are typically preventable.
+30mins
Specialty medications require over 30 min per prior authorization
When operations are scattered across systems, even great teams get slowed down.
It’s not a people problem. It’s a workflow problem.

Operations and Sales can finally collaborate in one unified view.

Step 1.

Unify intake from every source

Centralize referrals from fax, EHRs, portals, and email so patients and orders are created automatically in your system.
Luke Thorpe
Pills
Medication:
Businessman
Patient Name:
Hospital 3
Provider Details
Step 2.

Verify coverage and patient responsibility

Confirm active insurance, medication eligibility, and expected patient out-of-pocket costs before work begins.

Patient Eligibility

Checked Identification Documents
Insurance Verified
Covered by Atena
Pills
Medication Approved
Covered by Atena
Currency Exchange
Patient Responsibility
Out of Pocket Costs
Report Card
Eligibility Criteria Met
Member meets plan criteria
Search Patient Chart
Step 3.

Validate clinical and payor requirements

Identify missing documentation, incorrect ICD-10s, and policy gaps before submission to reduce rework and denials.

Prior authorization submission

Check Mark
Detailed clinical notes provided
Check Mark
Proper ICD-10 diagnosis code
Check Mark
Documented failure of first-line therapies
Check Mark
Recent lab results included
Check Mark
Met plan-specific criteria for coverage!
All requirements satisfied for medication coverage approval
Step 4.

Automate prior authorization submission and tracking

Auto-fill payer forms, assemble PA packets, submit through the right channel, and track status through final determination.

Payor Checklist for Medication

Security Lock
Prior Authorization Key: 
0308509340
Person
Patient Information:
John Doe, ABC
Expiration date: 09/02/2026

Complex specialty workflows don’t have to be manual, reactive, or unpredictable. With the right system, they become structured, visible, and repeatable.

Book a Demo
Torben Nielsen
CEO, Uptiv Health

"Our partnership with Lamar Health allows us to allocate resources away from administrative burdens and toward creating exceptional patient experiences that set us apart in the marketplace."

Want to see Lamar Health in action?

Schedule a personalized demo to discover how we can support your organization’s healthcare needs.
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