BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and Empowered-Home, today announced a partnership to provide automated prior authorization to ...

A new study from researchers at CVS Health finds that an automated prior authorization process may drive lower cost, more efficient cancer care. The research, released for the American Society of ...

BELLEVUE, Wash.--(BUSINESS WIRE)--Edifecs, Inc., a global health information technology solutions company and VirtualHealth, an industry-leading medical management technology company, today announced ...

In a notable example, within six months of deploying the Recondo solution, Bon Secours Mercy Health improved authorization approval days out from one to two days to ten days prior to service, and ...

Utilization management (UM) sits at the center of one of healthcare’s most persistent tensions: ensuring appropriate, evidence‑based care without slowing access to it. In practice, that tension has ...

The collaboration pairs VisiQuate's intelligence suite, including its AI-driven authorization prediction model, data engine, analytic insights, robotic process automation (RPA) and revenue cycle ...

Forbes contributors publish independent expert analyses and insights. Jesse Pines is an expert in healthcare innovation and wellness. This voice experience is generated by AI. Learn more. This voice ...

The fragmented experience of jumping between insurance portals and provider portals is finally being addressed with new 2026 integrations. Blue Cross Blue Shield has updated its prior authorization ...