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November 2021 Rivet Updates

Last month we launched our denials management software, and this month we added prior auth alerts and upgraded estimates, denials and more!

Estimates & Eligibility

Prior authorization alert

  • You can now know if a particular benefit requires prior authorization (for payers who support this functionality).

Auth required

Screen Shot 2021-11-04 at 4.58.48 PM

 

Estimates workflow

  • Estimate service types will now default to your last estimate’s service type, or just check the box and Rivet will automatically select service types for the CPT codes you enter.

Service typeAuto-1

  • Detailed benefits information is now displayed in-line on the estimates page, making it easier to ensure you're using the correct benefits for your estimate.

In-line detail on estimates

  • Additional and sortable columns in the alternate benefits menu make it easier to find the benefit you're looking for.

Alt benefits menu-1

  • Payment request language for estimates now includes the following message changes: This provider has requested a minimum of —% of the estimated total...Any difference will be refunded or billed after your visit.

 

Additional estimates improvements

  • Estimates now incorporate benefits that apply to specific place of service codes (e.g., for an office or ASC).
  • Rivet now leverages number- and visit-based limitations (e.g., visits, days or monetary amount) in calculating estimates.
  • Rivet Estimates now support employer-funded Health Care Accounts.

Day-of auto eligibility

  • You can now enter "0" in the days before appointment box, meaning auto eligibility will run at 12:01AM the morning of the appointment.

Day-of auto eligibility

Denials Management

  • You can now automate denial assignments based on provider.

Edit Denials assignments

  • You can now click on suggested criteria for quicker instruction writing.
Denials instructions-1
  • The notes and activity sections in Denials can now be copied from today’s work or all time into your EHR.
  • Quickly reorder, delete or jump to specific pages from template PDFs with the new added thumbnails feature.
Test 2 denials 1121
  • More efficiently build appeal form templates using the new keyboard shortcuts such as tab and arrow keys, cut/copy/paste, undo/redo and zoom in/out.
  • Use the arrows and page numbers that are now found at the top right of the page to keep track of where you're at in a specific group of denials and how many you’ve worked.

arrows...denials

Learn more about Denials Management

Single Sign-on

  • Rivet now supports single sign-on via SAML; meaning you can log in via an authentication system you already use, such as Active Directory.

    Visit the authentication page in your Rivet account settings or contact your Customer Success Manager to get started.

Single sign-on-2

Integrations

  • Nextech users: Your appointments will now automatically load into Rivet, making eligibility and estimates easier than ever.

Want to know more about our claims analytics software or Rivet's other products? Download our one-page Rivet overview or schedule a demo.

Download a Rivet Overview