Keep in mind: If you're approved, a prior authorization only lasts for a set period of time. A prior authorization can expire ...

The regulation should enable workflow automation that could limit paperwork burdens on providers, regulators said.

Below is a roundup of payer-centric news headlines you may have missed during the month of July 2025. | In July, Democratic ...

Humana said on Tuesday it would eliminate about one-third of prior authorizations for outpatient services by next year, the ...

The prior authorization process is in the spotlight as the majority of Americans say delays and denials of services and ...

Indiana’s health care system is taking a major step forward following the implementation of a new law authored by state Sen. Tyler Johnson, R-Leo, that reforms the prior authorization process and puts ...

Humana, the second-largest provider of Medicare Advantage Plans, has pledged to streamline the often frustrating Prior ...

“Insurance executives came to our offices and agreed, voluntarily, to remove the burdensome preauthorization process for 80% ...

Everyone’s talking about AI in healthcare — but in revenue cycle management, confusion remains about what it actually does. For RCM and finance leaders, the key question is: What makes an AI solution ...

If your medication requires a prior authorization, the pharmacy will notify the healthcare professional who wrote the ...

Preauthorization is about to enter the lives of many seniors who have chosen traditional Medicare over MA, write former CMS ...