As a physician, I am all too familiar with the technological struggles of prior authorization.

But health plans looking into automation face a daunting hurdle:

70% of authorizations lock vital clinical information in a format that is unreadable for automated decisioning engines.

Here are four ways OCR reduces the administrative burden of prior authorization:

  1. Digitizes fax forms and attachments, making the data available for intelligent decisioning
  2. Highlights relevant passages to accelerate manual decisioning
  3. Sorts incoming documents as new authorization requests vs. clinical attachments
  4. Prioritizes high-value cases to make the best use of nurse review time

Intelligent prior authorization helps by applying optical character recognition (OCR) to intake and decisioning. OCR is a process that converts images of text, like a PDF or even a scanned handwritten document, into a machine-readable text format.

Read more in my latest article.

Featured Content

 

Dr. Adrian Thomas maps out 4 ways OCR is transforming prior authorization intake and decisioning.

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Watch this interview to learn how AI/ML technology is assisting provides determine the best care paths for patients.