Deploying a decisioning system to accelerate the prior authorization approval process

Healthcare requires prior authorization on certain procedures and prescriptions. Current prior authorization processes are often lengthy and involve extensive manual review of complex and frequently changing clinical guidelines. This results in significant delays and costs for both healthcare providers and payers.

Distyl is developing an AI decisioning system to handle prior authorization requests that combines semantic understanding and reasoning about complex clinical criteria, operational and administrative guidelines, and automated decision making. This system offers significant advantages, speeding authorization decisions while maintaining quality and accuracy.