Pilot
Prior Authorization and Formulary Finder
Look up whether a service or drug needs prior authorization for a Hawaiʻi health plan, and who handles it.
Tools that give clinic time back.
Free tools for Hawaiʻi practices. Find the prior authorization rule, start billing Advanced Primary Care Management, check the Rural Health Clinic path, and measure what paperwork costs your clinic.
- No patient information. Ever.
- Every rule shows its source and the date we checked it.
- Built in Hawaiʻi for Hawaiʻi practices.
The tools
Pilot
APCM Toolkit
Start billing Medicare Advanced Primary Care Management with checklists for eligibility, consent, and documentation.
Pilot
Rural Health Clinic Pathway
Check whether your clinic location may qualify for Rural Health Clinic certification and see the steps.
Pilot
Administrative Burden Baseline
Run a two-week time study of paperwork tasks and see what they cost your clinic on a simple dashboard.
How we keep it accurate
- 1
We read the payer's own documents.
- 2
We record the source and the date we checked it.
- 3
You tell us when something changes, and we fix it.