There are several systems that make the insurance industry run smoothly for both patients and providers. However, most of these processes rely on outdated and methodology that slows down the rate of patient care. Prior authorization is one of these processes, and it currently is the method by which insurance companies determine whether or not to cover a procedure, service or medication for those in need.
The current method for submitting such requests is manual, meaning that there are several time-consuming steps that parties must take to obtain authorization. This method leaves room for human error, slow service, and is very tedious for already busy insurance and medical professionals. Luckily, there are third party services working on developing an that is powered by artificial intelligence. These new AI-backed systems will be able to store and utilize insurance payer data to streamline the process of providing covered care to those in need. Artificial intelligence can facilitate voice calls to payers, and can even automatically update medical records as needed.
With potential life threatening side effects of inefficient prior authorization, the time to evolve and adapt to automated systems is now. Patients, providers and professionals in the field are buying into these new methods to ensure an efficient future for the entire industry.
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