HealthGates Patient-Centric Interoperability Model

Share medical information in real time with minimal human intervention. The best patient-centric interoperability model to ensure all patients get the right treatment at the right time.

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Changing the Way Healthcare Stakeholders Interact

By focusing on Patients, Pharmaceuticals, Providers, Payors, and Pharmacies (the Five P’s), we ensure seamless communication and streamlined processes for the benefit of all.

Patients The individuals receiving healthcare services can access their health records, communicate with healthcare providers, and manage their health information through our model.

Pharmaceuticals Exchange information about prescriptions, drug interactions, and medication histories, ensuring that patients receive safe and effective treatment.

Providers Our model enables providers to access and share patient health information, coordinate care, and improve treatment outcomes with full privacy.

Payors The communication between insurance companies and providers is streamlined using our model to process the payments.

Pharmacies The model facilitates the exchange of prescription information, medication orders, and other relevant data between pharmacies and other healthcare entities.

Patient Advocacy Get features to support patient advocacy groups that help individuals navigate the healthcare system, understand their rights, and access the resources they need for optimal care.

Digitizing Prior Authorization

HealthGates digitizes prior authorization by replacing paper forms with an electronic system. This electronic system allows healthcare providers to submit authorization requests quickly and securely including Providers, Bio-Pharma, Payors, and Pharmacies.

By digitizing this process, HealthGates aims to reduce the time and effort it takes to get approval for medical treatments, ultimately benefiting both patients and healthcare providers.

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HealthGates Workflow: Facilitating Faster Communication in Healthcare

Patient Enrollment Patients begin by enrolling in the HealthGates system electronically.

Nurse Management Nurses use the system to track and oversee the delivery of medications.

Insurance Authorization The system facilitates the electronic requesting and processing of insurance authorizations.

Feedback Loop The HealthGates system allows for feedback loops between healthcare providers, patients, and insurance providers.

Treatment Modification The system enables modifications to treatment plans based on patient responses or insurance requirements

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HIPAA Compliance HealthGates maintains strict compliance with the HIPAA throughout the entire workflow.

Physician Assessment and Prescription Physicians use the HealthGates platform to assess patients' conditions and prescribe medications.

“Right Treatment for the Right Patient at the Right Time”

Exceeding Expectations with Speed and Efficiency

HealthGates is dedicated to removing waste, time, and cost from the prior authorization process. Our goal is to exceed the requirements of CMS 0057-F by achieving approvals in under 24 hours, far surpassing the mandated 72-hour timeframe.

By interoperating with our key partners on the HealthGates Platform, we enable a streamlined workflow, passage of information, and live tracking of the process from beginning to end.

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Rebuild Your Healthcare Ecosystem For The Future

Say goodbye to the days of relying on fax machines, endless emails, and phone calls for achieving prior authorizations. Join HealthGates in modernizing the healthcare industry with digital solutions. Schedule a demo today.

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