CertSite is a web-based business that provides the service of reliable, secure, automated Utilization Management (UM) over the Internet. On our system you can process any of the UM transactions that your payers require: eligibility verification, referrals, and precertifications of outpatient procedures and hospital admissions. Providers log onto our site with security access, and submit these transactions for immediate processing.
2. What will CertSite do for you?
CertSite will increase the efficiency of your office: We'll give you up-to-date eligibility data. We'll give you real-time processing and approval of referrals and precertifications.
What should be a simple process of referring a patient to another provider can easily take your office staff over two hours (Modern Healthcare, August 9, 1999). Processing precertifications can take over a day. CertSite will handle referrals and precerts in fifteen minutes, any day, at any time. The time and resources your staff doesn't have to spend on the phone can be directed towards your business: patient care.
CertSite's service is free to healthcare providers. What you need is a computer with Internet access.
4. How do I become a CertSite user?
In order for you to submit transactions through CertSite, one or more of the payers with whom you work have to be part of our network. If you aren't sure whether your payers are in our network, or if there are particular payers you'd like to see accept Internet-based UM transactions, contact us.
Nonetheless, we do allow providers to register with CertSite even before their associated health plans have contracted with us. Go to our provider signup page to learn more about the free benefits you get from signing up now.