Seamlessly connected to provider EHR systems, Olive’s AI technology automatically initiates prior authorizations, retrieves payer rules, and helps identify and submit clinical documentation from the EHR.
For Providers: Olive relieves health systems from manual prior authorization tasks by integrating EMR information, and using AI automation to determine if an authorization is required, help you submit the prior authorization requests, send denied-claim appeals, and give your health system an unfettered view of your authorization performance. This means your patients not only get the care they need faster, but it also eliminates confusing bills they might otherwise receive post-service if their claims were initially denied.By leveraging powerful prior authorization AI, Olive empowers specialty practices, hospitals, and health systems like yours to get control over your prior authorization task burden. She delivers complete visibility across all types of prior authorizations, from simple to complex, and provides you with immediate ROI through operational efficiency and captured revenue. Olive’s AI-powered solution automates the entire end-to-end process for you, including the hardest parts: handling medical necessity review and clinical documents.
For Payers: The prior authorization process doesn’t have to be a painful experience. Olive’s prior authorization AI delivers point-of-care decisions to your network providers and accelerates utilization management so patients get the right care at the right time.
Here’s how it works: With our vast footprint of providers and integrations with the nation’s top EMRs, Olive supports providers with prior authorizations across all payers and all specialties. When partnered with a payer for point-of-care authorization, Olive immediately identifies prior authorization requests from the EHR for your members. She then leverages your specific medical necessity criteria and the member’s EHR documentation to perform an AI powered clinical review at the point-of-care. Seamlessly integrated with your care management system and supporting 278, 275 and API transactions, Olive is your prior authorization payer API—obsoleting the fax machine and connecting providers and payers with unparalleled data.
What does point-of-care authorizations mean for payers, their members and providers? Because Olive has thousands of hospital and specialty providers as customers, she is able to leverage her network and proprietary connections to offer payers 100% faster prior authorization turnarounds and approvals at the point-of-care.
Automated utilization management enables faster decisions at the point-of-care and provides patients with immediate access to health services. Both are crucial in delivering appropriate care and becoming the plan of choice for your providers and members.