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.
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