Pega Google Prior Authorization Integration

Three steps to reinventing prior authorization processing to reduce friction and drive a more efficient process:

1. Streamline approvals while improving experiences for employees and providers by eliminiating silos, redundancy, and delays in workflows – using tools that ensure everyone is operating at the top of their training.
2. Provide ready access to digitized structured information for the case manager doing the review. Automatically connect to clinical information and eliminate countless steps and staff hours spent assembling, handing off, and redundantly validating information.
3. Automate approvals. When straight-through processing is not available, workflows can be configured to provide comprehensive information needed to understand each request in its context and focus attention to streamline responses.