Prior authorization process automation is a process that helps to guide insurance companies when determining whether or not to cover a procedure, service, or medication. This process is currently largely manual, which causes delays and errors for all involved. Prior authorization was originally designed to protect resources and save money, but the submission and approval process is now more difficult and tedious than ever.
The manual method for prior authorization is prone to human error and is very time-consuming. Because of this, patients may be denied care, put in threatening medical situations, or be forced to pay higher unanticipated costs. Fortunately, an AI-backed solution is in the works, automating the entire approval process and ensuring that all data is stored and handled in a timely manner. AI technology can field phone calls and can also update policyholder data in real time.
It is important for industry leaders to buy into this new technology, allowing them to save time, money and resources on everyday operations.
infographic by: orbithc.com
