RISA LABS'

API Hub

A central place for all RISA API products designed to automate clinical and operational workflows with precision, speed, and ease.
Our APIs are built on evidence-based standards, ensuring alignment with payer guidelines, FDA regulations, and NCCN protocols. RISA’s intelligent solutions empower healthcare providers to navigate complex workflows while maintaining the highest levels of accuracy and compliance.
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Prior Authorization

Auth Verification API

Flags the order for Prior Authorization (PA) requirement, helping you quickly determine if a procedure or medication requires authorization.

Patient Eligibility & Benefits
Prior Authorization

Eligibility & Benefit Verification API

Verifies the patient’s insurance and displays benefit information like co-pay, co-insurance, and calculated patient responsibility.

Medical Necessity
Prior Authorization

Medical Necessity API

Checks if the provided patient documents meet medical necessity criteria and lists the documents required to complete the process.

Status Tracking
Prior Authorization
Claims

Auth Status API

Provides real-time updates on the status of Prior Authorization requests, including approval/denial letters and timestamps.

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