Platform Modules
What does Lamar Health automate?
Eight modules. Plug in one, three or all eight, in the order your operation runs. Each reads from the systems you already have, writes back to them, and your team signs off on every decision.
01Fax Automation
Referrals got stuck in the fax queue.
Now, each one is read, matched and created as a record the minute it lands.
- Reads
- Fax (Documo, SRFax), Email (Gmail, Outlook), SFTP, Portals
- Writes
- Your EHR
No retyping. No missing page discovered on day three.
02Benefit Verification
40-minute holds to learn what the patient has covered.
Now, Lamar's AI caller confirms coverage, eligibility and out-of-pocket cost so your team members don't have to pick up a phone.
- Reads
- Payer eligibility (270/271), Availity, Carequality
- Writes
- The patient record, your EHR
The patient's benefits are confirmed, without your staff waiting on hold.
03Clinical review · LMN letters
Extensive pharmacist time spent to validate medical necessity.
Now, missing documentation, incorrect ICD-10s, and clinical gaps are identified automatically. The letter of medical necessity is drafted from the chart and cited to the policy, ready for a pharmacist to review and sign.
- Reads
- Payer policies, The chart (Carequality, your EHR)
- Writes
- Letter of medical necessity
Every criterion answered with evidence, the letter ready to sign.
04Prior Authorization
The thirty-eight field form was filled by hand repeatedly.
Now, pharmacy and medical benefit prior auths are filled from the record, submitted through the right channel and tracked to the determination. Site of care and J-codes are handled for infusion and buy-and-bill.
- Reads
- The patient record, benefits and clinical review
- Writes
- CoverMyMeds, Optum ePA, Availity, Payer portals, Fax
Submitted the same day it arrived.
05Appeals
Denials got a form letter back and appeals failed.
Now, denials are answered in the policy's own language, with the chart evidence the reviewer asked for. Appeal success rates increase.
- Reads
- The denial letter, Payer policy, the chart
- Writes
- Fax, Payer portals
Filed inside the deadline, every time.
06BillingCOMING SOON
The clean approval that still becomes a dirty claim.
Clean claims built from clean auths, with the auth number and codes already in the record.
- Reads
- Approved auths
- Writes
- 837 claims to your clearinghouse
Coming soon.
07Adverse EventsBETA
The safety signal nobody has time to file.
Adverse events captured inside the same workflow, drafted for review and reported.
- Reads
- The chart, Intake documents
- Writes
- FDA MedWatch 3500, your EHR
In beta with early customers.
08Insights · Providers
Where prior auths are won and lost.
Denial rate by payer, drug and reason, read from the letters themselves. Every referral source ranked with its trend and payer mix, so you know who sends and who stopped. One record, live, for sales, clinical, pharma and patients.
- Reads
- Every module's record, Payer determinations, Referral sources
- Writes
- Dashboards, Exports, your CRM
The same record, live, for every team.
Something your team still does by hand that isn't on this list?Explore custom automation →
You take care of patients.
We'll take care of the rest.
Get set up and start seeing results in under 60 minutes. Prove it on your own terms before you commit.