Reimagining Prior Authorization with Conversational AI

Prior authorization has long been one of healthcare’s most time-consuming and costly administrative processes, creating friction between payers, providers, and patients. Manual data entry, back-and-forth faxes, and complex coverage rules often delay care delivery and frustrate both clinicians and members.

In this webinar, we'll explore how conversational AI — combined with FHIR®-based interoperability, contextual understanding, and an agentic approach — can revolutionize the prior authorization process. Discover how AI-driven, human-like interactions can transform prior authorization into a seamless, intelligent workflow.

Join us as we demonstrate how modern AI agents can:

• Extract and interpret structured and unstructured clinical information
• Engage providers through natural conversations to complete prior authorization requests
• Enable agentic automation across Coverage Requirements Discovery (CRD), Documentation Templates and Rules (DTR), and
• Prior Authorization Support (PAS) FHIR® workflows while complying with CMS regulations
• Reduce the administrative burden while improving transparency, turnaround time, and patient experience
   

Join us to discover how conversational AI and agentic automation can simplify prior authorization, enhance collaboration, and deliver a seamless, patient-centered experience across payer and provider ecosystems.