
SolutionPaid
Prior Authorization
by Cognizant
Description
-Delay in Patient necessary care due to Prior Authorization requests are taking time to validate -Number of incoming requests got increased in the years. -Manpower utilization.
Features
-AI Driven extraction of Prior Auth Document to get the necessary details in system which required for validation. -AI Driven extraction of criteria from the Policy Document, extraction of patient details and comparison of both policy and medical records. -AI Driven summarization of records compared which enables user to validate the pre auth requests of ease. -AI Driven document chat bot to get the details from required documents.