Prior Authorization


The primary goal of the Prior Authorization Subworkgroup is to evaluate barriers/challenges, business cases, current workflows, and return on investment (ROI) related to electronic data exchange for medical services prior authorization using existing and emergent technologies. This effort will foster enhanced collaboration between payers and providers and support prior authorization processes being performed at a lower cost and with increased value, automation, and efficiency.

Work Products

Conference Calls

Prior Authorization Workgroup
1st & 3rd Tuesday of each month 1:30 pm-2:30 pm ET

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