Day: December 23, 2025

The Digital Payer: How AI is Automating Prior Authorization and Streamlining Claims Adjudication

Introduction The healthcare industry is undergoing a significant transformation, driven by technological advancements and a growing need for efficiency.  Prior authorization, a crucial process for ensuring medical necessity before treatment begins, has long been a bottleneck in claims processing. Says Stuart Piltch,  traditionally, this involved significant manual effort from medical professionals, insurance adjusters, and administrative staff, […]