Treffer: Patent Issued for Systems and methods for authorization automation using artificial intelligence (USPTO 12293835).

The article discusses a patent filed by Elevance Health Inc. for a system designed to automate the approval process for medical treatment authorizations using artificial intelligence (AI). The patent outlines methods that leverage machine learning, optical character recognition (OCR), and natural language processing (NLP) to analyze clinical documentation and determine if medical necessity criteria are met. This automation aims to enhance efficiency in utilization management processes, reduce administrative burdens, and improve satisfaction for both healthcare providers and patients. The system addresses challenges related to the complexity of medical records and the need for accurate interpretation of medical necessity guidelines. [Extracted from the article]