The Prior Authorization Tipping Point: An agentic-first approach to building access infrastructure

Discover how AI is revolutionizing price transparency and prior authorization (PA) processes, cutting turnaround times from over a week to less than a day with 14% improved accuracy. Benefit verifications (BV) and prior authorization, are a major barrier to care, delays treatment for 93% of physicians and causes 82% of patients to abandon recommended therapies. This session explores how native AI platforms streamline BV and PAs by detecting medication orders, determining payer requirements and assembling authorization requests directly within the prescription workflow. Using large language models, these systems extract clinical evidence from physician notes, diagnostics and patient history, enabling faster, more accurate submissions.