eTopical Precious Finds
Prior authorization is a necessary process in the insurance industry that guides professionals in determining whether or not they should cover a procedure, service, or medication. This system was originally constructed to protect resources and save money, but now is outdated. The current process of submitting prior authorization is manual, meaning it involves manpower to get the job done. This process is tedious, prone to error, and can have major side effects for patients in need. In fact, both patients and providers report that these side effects have had a negative impact on their lives.
Because of these shortcomings, experts are working on an AI-driven solution to prior authorization. This new system would be able to quickly store and retrieve patient data safely and securely. Also, AI can facilitate phone calls and even update medical records in real time. These advancements would help patients to get the support they need in a timely manner, eliminating unexpected payments or denial of care.
As many as 70% of current prior authorization processes still rely on manual labor, showing the urgent need for the industry to adopt these new and advanced practices. Saving time, money, and effort, the health insurance industry will soar to new heights with the help of AI.
Source: Orbit Healthcare
