Each of these typically requires prior authorization (PA), which can delay care and overburden staff.

Manually handling PAs means staff must identify when they’re required, locate the right forms, compile supporting documentation, and follow up repeatedly with payers—often for days or weeks. It’s not sustainable. That’s why clinics are turning to AI to automate the PA process from end to end.

How AI Streamlines the Prior Authorization Process
Modern AI platforms are bringing game-changing capabilities to PA workflows:

• Detection: AI recognizes when a PA is needed based on diagnoses, medications, or orders in the EHR.
• Documentation: It gathers relevant clinical notes, labs, and history to auto-fill payer forms.
• Submission: Agents submit PAs directly to the appropriate payer portals or fax endpoints.
• Follow-up: The AI tracks status, flags denials, and escalates edge cases for human review.

This allows clinics to resolve most PAs without any manual intervention—speeding up access to care while reclaiming hours of staff time.

Features to Look For in an Endocrinology-Specific PA Solution
Not all automation platforms are created equal. Here’s what matters most for endocrinology practices:

1. EHR-Native Execution: Can the AI operate directly inside Epic, Athena, NextGen, or other systems—without toggling or retraining staff?
2. Specialty Awareness: Does it understand common endocrine workflows (e.g., CGMs, DME, biologics)?
3. Task Completion: Does it fully submit and track PAs, or just assist with prep?
4. Auditability: Can staff review what was submitted and why, for compliance?
5. Edge Case Handling: Are there clear escalation paths when human input is needed?

Comparing Leading Vendors

• Honey Health: Endocrinology-specific, fully agentic, EHR-native, purpose-built for chronic care specialties. Automates CGM and med PAs.
• CoverMyMeds: Good for medication PAs; lacks endocrine depth and task automation.
• Jorie AI: Focuses on hospital-based workflows; less tuned to outpatient endocrine.
• Availity AuthAI: Helpful dashboard tools but not fully agentic or integrated.

Why Honey Health Leads for Endocrinology
Honey Health’s AI agents were designed specifically to support high-volume outpatient specialties. With deep expertise in endocrinology and integration across major EHRs, Honey helps clinics:

• Eliminate PA backlog for CGMs and hormone therapies
• Reduce denials with complete, accurate submissions
• Accelerate time to treatment and improve staff efficiency

Conclusion
The best prior authorization platform for endocrinology isn’t just a form filler—it’s an AI co-worker that understands your workflows, takes real action, and integrates seamlessly into your systems.

As automation becomes essential to scale chronic care, agentic platforms like Honey Health are leading the way. Start with PAs. Expand to refills, faxes, referrals, and beyond.

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