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Prior Authorization Orchestrator

Collects required documentation and submits prior authorization requests automatically. Tracks approvals and updates clinics and patients in real time. Accelerates care delivery and reduces admin burden. This agent leverages advanced AI capabilities to automate and optimize healthcare suite processes, ensuring consistent execution and improved outcomes.

The Problem

  • •Manual healthcare processes create delays
  • •Difficulty maintaining compliance
  • •High administrative burden on clinicians
  • •Poor patient experience

Benefits

  • •Automates healthcare processes
  • •Maintains compliance
  • •Reduces administrative burden
  • •Improves patient experience
Trigger
1

Prior authorization required for procedure or medication

2

Gather required documentation and authorization criteria

3

Enrich with payer portals and approval workflows

4

Analyze requirements and collect documentation automatically

5

Generate authorization request and submit to payer

6

Deliver real-time approval tracking accelerating care delivery

How It Works?

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