Intelligent automation combines web technolgies, responsible AI, machine learning, deep clinical expertise, and real-time data to simplify and expedite approval for patient care.

Whether initiated by fax, web portal, or directly from electronic medical records, intelligent prior authorization digitizes requests into a unified decisioning process, automatically evaluates policies and clinical guidelines to decision requests, and returns responses to providers in real-time. AI-driven guidance assists providers when submitting requests that align with administrative and clinical policies, making instant approval much more likely.

Download this eBook to learn how Intelligent prior authorization enables health plans to reduce provider burden, gets patients to the right care faster, and ultimately makes healthcare more human.