AI Prior Authorization for Providers

These are tools that use AI to streamline the provider end of the prior authorization process. Functions usually include:

• Identification of prior authorization requirements and processes

• Automatic population of prior authorization forms

• Submission of prior authorization requests

• Reporting and checks on prior authorization status

• Support with appealing prior auth denials

Prior authorization vendors vary meaningfully in their service coverage, with some specialized for pharmacy and others focused on certain types of medical services.