In a world that is continuously growing and evolving, it is important that the systems that our health insurance industry relies on are able to grow and adapt as well. Prior authorization is an insurance processing method that helps insurance companies to determine whether or not to cover a procedure, service, or medication. This system was designed to protect our resources and save money, but now is becoming outdated due to the traditional manual methods.
Manual methods for prior authorization can be time-consuming, are prone to human error, and require more steps than is ideal for the industry. Additionally, these shortcomings have led to several side effects that impact providers, professionals, and policy holders. Medical providers and insurance companies lose valuable time and money when these processes are inefficient. Also, patients may even be denied critical care or need to pay more for services if prior authorization cannot be properly completed. Fortunately, there is an AI-backed solution in the works that will streamline these processes.
Artificial intelligence can facilitate calls with customers, can store data safely, and can even automatically update patient information to speed up processing. Technology through prior authorization process automation also ensures maximum organization and minimal error, which helps to alleviate some of the current side effects plaguing the industry. Moving forward, this technology will continue to advance and drive the insurance industry forward.
Source: Orbit Healthcare
