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HITEQ Highlights: AI and Health Insurance Prior Authorization for Health Centers

Year Developed: 2024

Resource Type: Archived Webinar.

Primary Audience: Administrative Staff Clinicians PCAs
Secondary Audience: Board of Directors C-Suite (CEOs, CFOs, CIO, COOs, CMOs, etc.) Enabling Staff Outreach Staff

Language(s): English

Developed by: HITEQ (See other resources developed by this organization).

Resource Summary: AI is a tool that is now being used to automate prior authorization requests. This webinar described the implications of this for health centers and their patients.

Resource Details: In particular it described the regulatory environment for use of AI, and what to be aware of as regulation of this technology is in the early stages. The session reviewed both the benefits of AI for prior authorization, such as time efficiency gains, and the hazards, such as potential errors.

Resource Topic: Governance, Health Information Technology (HIT)/Data, Promising/Best Practices

Resource Subtopic: Implementation Feasibility, Operational Feasibility.

Keywords: Discrimination, Health Insurance, Insurance and Claims, Policies and Procedures.

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $6,625,000 with 0 percentage financed with non-governmental sources. The contents are those of the author(s) and do not necessarily represent the official views of, nor an endorsement, by HRSA, HHS, or the U.S. Government. For more information, please visit HRSA.gov.