cost savings with interoperability in ePA

Why Is Interoperability Important in Electronic Prior Authorization?

Prior authorization (PA) is a process used by insurance companies to ensure that medical services, medications, or procedures are medically necessary and covered under a patient’s health plan. While it was designed to control healthcare costs and encourage appropriate care, prior authorization often becomes a bottleneck, delaying treatment and frustrating both providers and patients. Electronic Prior Authorization (ePA) has been introduced as a solution to reduce paperwork, speed up approvals, and bring efficiency into the process. However, the full benefits