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The role of AI agents in improving collaborative review and decision support within utilization management teams for faster prior authorization outcomes
Prior authorization is a process used by payors and UM teams to approve or deny specific medical services before they are given. It is made to confirm medical need, control costs, and follow insurance rules. But, PA often takes a long time, involving manual review of patient records, insurance policies, medical coverage guidelines, and many […]...
13 Oct 2025