Athenahealth built more than 80 AI-native features into athenaOne, targeting high-friction tasks such as insurance verification, coding, prior authorization and denials. AI voice agents place over 23,000 prior authorization calls each month, some completed in under an hour.
Voice AI uses AI agents to place more than 23,000 prior authorization calls each month.
Source: Becker's Hospital Review
Voice AI uses AI agents to place more than 23,000 prior authorization calls each month.
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A proposed CMS rule extends electronic prior authorization requirements from non-drug items to drugs, adopts FHIR standards for prior auth transactions and mandates API metrics reporting. Most compliance dates begin October 1, 2027.
Optum is launching two AI tools — Digital Auth Complete and InterQual Auth Accelerator — to cut prior authorization delays. Digital Auth Complete integrates into the EHR and automates multiple parts of the process to return responses faster.
UiPath announced agentic AI solutions for healthcare: medical records summarization, claim denial prevention and resolution, and prior authorization — using agentic automation to accelerate revenue cycle management.