GENHEALTH FOR JOINT REPLACEMENT

Streamline authorizations for total joint arthroplasty and related care

Joint replacement programs require comprehensive prior authorizations covering pre-operative optimization, surgical procedures, implants, and post-operative rehabilitation. GenHealth automates this entire continuum of care authorization.
Brightree
UnitedHealthcare
Cigna
Aetna
Niko Health
Epic Systems
eClinicalWorks
athenahealth
eMedNY
myCGS DME MAC
Noridian Medicare
CMS
EviCore
Gmail
Outlook
RingCentral
Faxage
Surgical Authorization

Surgical Authorization for Joint Replacement

Automated PA for total hip, knee, shoulder, and revision arthroplasty.

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Implant Approval

Implant Approval for Joint Replacement

Prior auth support for specific implant systems and components.

Learn more about Implant Approval
Pre-Op Optimization

Pre-Op Optimization for Joint Replacement

Streamlined authorization for pre-surgical testing and medical clearances.

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Rehab Coordination

Rehab Coordination for Joint Replacement

Automated PT authorization and post-acute care facility approvals.

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Measurable Results

See the impact of AI automation for joint replacement practices

94%

Joint replacement approval rate

60%

Reduction in surgical delays

5days

Faster average auth turnaround

Trigger

When events happen in your EMR

New orders, referrals, or patient data that need prior authorization or eligibility verification.
Your EMR System

Monitoring for new events

AI Action

GenHealth AI takes over

AI automatically processes joint replacement-specific workflows, submits authorizations, and closes the loop.
Automated Processing

Complete without manual intervention

Prior Authorization

Prior Authorization for Joint Replacement

AI-powered prior auth submission and tracking with automated medical necessity documentation.

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Eligibility Verification

Eligibility Verification for Joint Replacement

Real-time insurance eligibility checks with automated benefit verification and patient notifications.

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Patient Intake

Patient Intake for Joint Replacement

Automated data entry and document processing that extracts information from faxes and uploads.

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Referral Management

Referral Management for Joint Replacement

Streamlined specialist referral workflows with automated tracking and follow-up.

Learn more about Referral Management

Ready to automate your joint replacement practice?

See how GenHealth can reduce administrative burden by over 80% and accelerate patient care.