With new breakthroughs happening in electronic prior authorization technology, industry stakeholders are curious what CMS may ultimately mandate in its forthcoming final rule and what types of ...

A survey of health plans finds prior authorization processes need improvement to become fully electronic. While the healthcare industry is moving towards automation as a whole, prior authorization (PA ...

Develop Health, an AI-powered eligibility and prior authorization automation platform, today announced its integration with athenaOne, bringing its end-to-end access automation directly into ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and VirtualHealth, an industry-leading medical management technology company, today announced ...

In a future state, the automation of prior authorization decisions would be a natural element of high quality, value-based care. After all, the goal of prior authorization is to ensure that a member’s ...

Availity ®, the nation’s leading real-time health information network, and Concert ®, the leading provider of clinical content and payment accuracy solutions for advanced diagnostics, have partnered ...

Prior authorizations are a critical part of the revenue cycle as they impact both reimbursement and patient access to care, and automation may help simplify the process. Many prior authorization ...

The Centers for Medicare and Medicaid Services aims to overhaul health insurance prior authorizations under a proposed rule published Tuesday. The regulation would require Medicare Advantage, Medicaid ...

SAN FRANCISCO, Sept. 11, 2025 /PRNewswire/ -- Plenful, the leading AI workflow automation platform modernizing healthcare, today announced its Intake Authorization Management Suite. Built to end ...

Please provide your email address to receive an email when new articles are posted on . An electronic health record tool has demonstrated the potential to automate the selection of biosimilars.

Columbus, Ohio-based PriorAuthNow, maker of an electronic prior authorization platform, has closed a $10.5 million Series A funding round. The investment was led by Atlanta-based BIP Capital, with ...

JACKSONVILLE, Fla. & NASHVILLE, Tenn.--(BUSINESS WIRE)--Availity ®, the nation’s leading real-time health information network, and Concert ®, the leading provider of clinical content and payment ...