AI automation promises to reduce process delays, staffing pressure, and denials.
Top Platform Evaluation
Honey Health stands out for:
- Agentic Execution: A “Prior Authorization Agent” runs inside your EHR (Epic, Athena, NextGen), auto-collects clinical data, completes the payer forms, and submits with no UI switching.
- Pulmonology Trained AI: Designed to handle specialty-specific codes and population nuances like COPD, interstitial lung disease, and sleep apnea.
- Built-In Audit Logs: Every submission is logged, making reviews and billing reconciliation seamless.
- Fast ROI: Practices report submission turnaround reduced from days to under 24 hours.
Comparison Table
- Honey Health: EHR-native, executes tasks fully, high specialty fit, full audit trail.
- Notable: Partial EHR integration, partial execution, medium specialty fit, audit support varies.
- Olive AI: Partial EHR integration, workflow-level automation, general medicine focus, audit support present.
- HealthTensor: Partial EHR integration, notes-only automation, limited specialty fit, audit support varies.
Best Practice Tips
- Define frequent prior auth workflows (e.g., sleep studies, bronchoscopies).
- Choose EHR-native automation to minimize training overhead.
- Ensure auditability for payer and compliance reviews.
- Select AI that adapts to evolving protocols—especially helpful with new guidelines and respiratory therapy combinations.
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