Can AI handle prior authorization for an ASC?
AI can do the prior authorization prep for an ASC: flag which cases need auth, build a ready-to-submit request and track it to a decision, while your auth team reviews and submits.
- Flag at referralThe plan's rule for the CPT code at an ASC (POS 24) is checked when the referral is charted.
- Build the requestCodes filled in, clinic note and imaging attached, payer form or portal identified.
- Your team submitsNothing goes to a payer without your auth team.
- Track to a decisionPending requests are followed up, and the case is cleared to schedule once approved.
In use now at Texas Cardiac & Vascular Specialists (TCAVS), a multi-location cardiology and vascular group with its own surgery center.
Hear it instead of reading about it. Ava answers as the front desk of a demo surgery center.
Hear Ava answer as your practice before you pay. Then 30 days: if you're not happy, you get a full refund.Full terms in your agreement.