AI agents for prior authorization automation
Prior-auth agents gather the clinical evidence a payer requires, submit through the right channel, and chase status. Bought on both staff cost and time-to-decision, with CMS interoperability rules creating deadline pressure. 4 options, compared on what they integrate with and how much a person still has to do.
What buyers actually decide on
- Payer coverage
- CMS interoperability readiness
- Approval turnaround
- EHR write-back