CMS Interoperability : Reimagining Prior Authorization with Conversational AI

Prior authorization has long been one of healthcare’s most time-consuming and costly administrative processes, creating friction between payers, providers, and patients. Manual data entry, back-and-forth faxes, and complex coverage rules often delay care delivery and frustrate both clinicians and members.
In this webinar, we'll explore how conversational AI — combined with FHIR®-based interoperability, contextual understanding, and an agentic approach — can revolutionize the prior authorization process. Discover how AI-driven, human-like interactions can transform prior authorization into a seamless, intelligent workflow.
Join us as we demonstrate how modern AI agents can:
Extract and interpret structured and unstructured clinical information
Engage providers through natural conversations to complete prior authorization requests
Enable agentic automation across Coverage Requirements Discovery (CRD), Documentation Templates and Rules (DTR), and Prior Authorization Support (PAS) FHIR® workflows while complying with CMS regulations
Reduce the administrative burden while improving transparency, turnaround time, and patient experience

Join us to discover how conversational AI and agentic automation can simplify prior authorization, enhance collaboration, and deliver a seamless, patient-centered experience across payer and provider ecosystems.

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