How Can AI Assemble an Appeal Packet Automatically?
AI can assemble an appeal packet automatically by extracting supporting records from the EHR, organizing them into a clear timeline of events, and attaching payer-specific references or guidelines all without manual effort. It pulls the necessary documentation, formats it according to payer requirements, and generates a complete, compliant packet that staff can review and submit, […]
Can AI Submit Prior Auth via EDI (e.g., 278) and When Is Portal Submission Still Needed?
AI can submit prior authorization requests via EDI transactions such as the 278 when payers support electronic data interchange, allowing automated transmission of patient, provider, and service information directly from the practice’s system. However, portal submission is still needed when payers lack full EDI capability, require additional clinical documentation uploads, or enforce proprietary workflows that […]