BCBS Massachusetts' AI returned orthopedic prior authorization in under a day

Orthopedic

Blue Cross Blue Shield of Massachusetts completed its FastPass pilot, an automated prior authorization process.

The pilot was done at New England Baptist Hospital in Boston and used Olive's artificial intelligence technology to help streamline the clinician and payer processes, BCBS Massachusetts said in an Oct. 12 news release. It focused on hip and knee procedures for 32 physicians over four months.

Eighty-eight percent of prior authorization submissions were done automatically in real-time during the pilot. The average time to complete approval went from nine days to less than one.

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