Epic Launches Real-Time Prior Authorization API at Four Health Systems
Epic Systems has launched an instant prior authorization application programming interface at Ochsner Health, Froedtert ThedaCare Health, Denver Health, and Summit Health. The API enables real-time preapproval decisions for medical items and services at the point of care. Epic states the technology should reduce prior authorization processing time by eliminating manual submission and review delays. The deployment affects workflow for providers treating Medicaid managed care enrollees at these four systems, though the article does not specify which payers are participating in the integration.
Real-time prior authorization capabilities can reduce administrative burden and care delays for Medicaid managed care plans and providers, particularly if state Medicaid agencies or MCOs integrate with Epic's API to automate approval decisions.
Managed Care
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