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AI-Powered Eligibility and Prior Authorization

The client faced delays and denials in insurance eligibility and prior authorization processes due to manual data handling, inconsistent payer requirements, and limited visibility into real-time insurance information.

Streamlitics deployed an AI-driven solution to automate and optimize the insurance eligibility and authorization workflow.

 Results Achieved:

  • Seamless integration of AI platform with existing Electronic Medical Record (EMR)
  • 28% decrease in insurance denial rates, resulting from proactive error identification and improved submission accuracy.
  • Significant reduction in patient wait times, with faster authorization approvals enabling more timely access to care.
  • Enhanced administrative efficiency, freeing up staff for higher-value tasks.
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