Prior Authorization

Prior Authorization products serve as the bridge between healthcare providers and payers, streamlining the authorization process for treatments and medications. These tools facilitate the submission of clinical documentation by clinicians, making it easier for payers to review and authorize necessary procedures. On the other side, payers benefit from organized systems to manage and respond to treatment requests from healthcare providers efficiently. AI and machine learning, are increasingly employed within these products to assess the relevance and necessity of treatments, as well as to generate the prior authorization submissions themselves.