Optum introduces AI-powered digital prior authorization

Optum is introducing AI-powered prior authorization.

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Optum said the intelligent automation solution delivers timely decisions for providers to reduce delays, speed approvals and reduce repetitive work.

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Allina Health will be one of the first to deploy this new solution, Optum said. Allina Health is a nonprofit healthcare system based in Minneapolis, Minnesota, that owns or operates 12 hospitals.

WHY THIS MATTERS

The new system touts 45% manual touches, a 56% reduction in review time, 80% greater documentation bundling efficiency and a 96% first-pass approval rate.

Providers can submit requests through Digital Auth Complete by Humata Health, a physician-led AI startup. The AI-enabled authorization features can be embedded directly into the EHR. The system gathers required materials, applies payer rules and submits requests automatically, Optum said.

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Read the full article in Healthcare Finance here.