Optum Introduces Two AI-Powered Digital Prior Authorization Tools

Optum introduced two artificial intelligence (AI)-enabled prior authorization tools, Digital Auth Complete and InterQual Auth Accelerator, designed to reduce administrative burden and improve the efficiency of authorization decisions for provider organizations and payers. Administrative staff spend an average of 13 hours per week on prior authorization tasks.

Digital Auth Complete, developed with Humata Health, integrates authorization workflows into the electronic health record (EHR) and automates tasks such as documentation collection, application of payer rules, and submission of requests. According to Optum, the tool has reduced manual touches by 45% and increased processing efficiency by 80%, with recent deployments achieving . . .