Hidalga
System Online
Account Login

Welcome to an Enhanced Prior Authorization Management Platform

Experience the PA coordinator workflow: 3.2 hours → 30 minutes reduction

95%+
Autofill Accuracy
30 min
Average Completion
90%
Same-Day Submissions
26.69%

Medicare Advantage

89

PAs this month

32.46%

Traditional Medicare

108

PAs this month

19.92%

BCBS

66

High friction payer

7.59%

Commercial Payers

25

UHC, Cigna, Aetna

Portal Integration Status

95% portal submissions

U

UHC/Optum

Primary portal • Daily checks

Connected
C

Carelon

Anthem BCBS portal

Connected
A

Availity

Multi-payer clearinghouse

Phase 2

Top Denial Prevention

Address before submission

Lack of Documentation

Staging, prior lines, biomarkers missing

40%

Criteria Not Met

NCCN guidelines verification needed

35%

Duplicate Authorization

Another scan already approved

25%

P2P Alert: Teams notification sent to MD for peer-to-peer scheduling