Advancing the Healthcare Industry with Automated Prior Authorization

Prior authorization is a tool used to enhance the experience of providers, patients, and medical professionals. It was originally designed to save money and resources when deciding whether or not to cover certain procedures, but now is outdated and leading to several negative side effects. The current manual methods for prior authorization are tedious and prone to human error, which has resulted in loss of time, money, and even adverse health effects in patients. Experts are working on developing an advanced AI-backed prior authorization process automation solution to replace the outdated methods and ensure the future success of the industry.

A new automated method would work seamlessly with industry manpower to keep patient data organized and up to date. Artificial intelligence can help to facilitate calls, provide necessary documents efficiently, and even update patient medical records in real time. With these new developments, physicians no longer have to incur higher costs or increased administrative burden. Additionally, patients will no longer experience delays in access to care. 

Currently, as many as 70% of current prior authorization processes still rely on manual labor. Leaders in the industry are working tirelessly to fix this, automating many systems and simplifying the timeline for patient care. More efficient, AI based solutions have better accuracy, and improved patient experience are just a few of the benefits that automation can bring, taking the entire industry to the next level.

Source: Orbit Healthcare