Elevance Health Cuts Prior Authorization Denials by 61% With AI Platform

ELV's Health OS automation reduces provider administrative tasks and accelerates treatment approvals for 119 million members. Elevance Health Inc. (ELV) upgraded its Health OS platform to automate clinical reviews, cutting prior authorization denials by 61%. The system int

ELV’s Health OS automation reduces provider administrative tasks and accelerates treatment approvals for 119 million members.

Elevance Health Inc. (ELV) upgraded its Health OS platform to automate clinical reviews, cutting prior authorization denials by 61%. The system integrates with electronic health records, replacing manual processes and reducing administrative burdens for providers.

Over 42% of prior authorization requests are now processed in under one minute, eliminating paper and fax submissions. The platform also speeds decision-making, allowing providers to focus more on patient care while ensuring faster access to approved treatments.

Elevance Health serves 119 million people across commercial, Medicare, and Medicaid markets. The enhancements follow collaborations with partners like Epic to scale connected workflows and improve payer-provider communication.

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