Prior authorization is one of the factors that is leaving many patients subject to delays in getting the care they need. This system was established to help insurance companies to determine whether or not to cover a procedure, service or medication. Today, 1 in 3 providers say that prior authorization processing delays have led to an adverse event for patients. This has led many experts on a search to ease administrative burden on providers and ensure that patients have access to care when they are in need.

The current process for submitting prior authorization is manual, requiring teams of humans to get the job done. This process is prone to errors, is time-consuming, and has a greater chance of leading to problems for the patient. Because of this tedious process, leaders in the field are working on developing an prior authorization process automation AI-backed solution to automate the entire process. This new technology would allow for streamlining data retrieval and storage, real-time patient data updates, and AI powered calls to payers. Artificial intelligence would supplement human capabilities to take this sector of the industry to the next level. Although this technology is early in its development, the future is promising for providers to buy into the next generation of prior authorization.

Source: Orbit Healthcare