Four U.S. health systems have begun using a tool that instantly tells clinicians whether an insurer requires prior authorization for a treatment, replacing a process that has relied on phone calls, faxes, and internally maintained spreadsheets.
Ochsner Health, Froedtert ThedaCare Health, Denver Health, and Summit Health are the four systems now using the checks, which Epic announced Monday ahead of its annual users meeting. The checks currently work with UnitedHealthcare, CVS-owned Aetna, and Network Health, with sixteen additional payers testing the interface.