{"type":"video","version":"1.0","html":"<iframe src=\"https://www.loom.com/embed/42f428c46c5147168df272114a27be06\" frameborder=\"0\" width=\"1832\" height=\"1374\" webkitallowfullscreen mozallowfullscreen allowfullscreen></iframe>","height":1374,"width":1832,"provider_name":"Loom","provider_url":"https://www.loom.com","thumbnail_height":1374,"thumbnail_width":1832,"thumbnail_url":"https://cdn.loom.com/sessions/thumbnails/42f428c46c5147168df272114a27be06-cb4c3fe16bc7c848.gif","duration":461.973,"title":"Hospital Initiated Authorizations in ExaCare","description":"This Loom explains how to use ExaCare’s hospital-initiated authorization workflow to identify higher reimbursement opportunities. It describes why members should still run the pre-auth analysis in ExaCare even when hospitals submit authorizations, because hospitals may submit for a lower level like level 1 to get patients approved quickly. Using the example of Donna Paulson, ExaCare detects a recommended level 3 and generates a submission package, then assumes the hospital submitted and prompts you to follow up with the hospital outside ExaCare to request the higher level. You can mark the request as pending, track outcomes when the hospital changes the authorization, and complete a short questionnaire depending on whether the higher level was pursued or not."}