I am trying to see if there's any AI help with prior auths for meds. We use CoverMyMeds but it can take 5-30 minutes to clear one request. Several EMR's have them built in:
o Epic Payer Platform: Uses AI (via modules like "Coverage Requirements Discovery" and "Prior Auth") to check PA needs in real-time, auto-populate forms, and track status within the Epic workflow. (Widely adopted by large health systems).
o Athenahealth: Leverages AI/ML within its EHR/RCM platform to automate PA initiation, identify needed documentation, predict delays, and streamline communication. Focuses on reducing administrative burden.
o eClinicalWorks: Incorporates AI-driven PA tools within its EHR, aiming to automate form filling and status tracking.
Also mentioned is DrFirst which I believe was our last e-prescribing company. They have something that integrates with EMRs.
Anyone know of any software that integrates with AC?
