Elevance Health announced that its Health OS platform has reduced prior authorization denials by 61% due to insufficient clinical information. The secure data platform, which connects electronic health records, labs, and health information exchanges, also led to nearly 60% fewer cases pending for additional information and up to a 51% reduction in follow-up reviews. More than 30 health systems are participating in the electronic prior authorization program, processing over 250,000 requests through April 2026, with more than 42% of decisions completed in one minute or less. The platform integrates with Epic's Payer Platform to streamline clinical review and reduce administrative burden, saving approximately 15 minutes per case. Elevance Health was the first to collaborate with Epic on inpatient concurrent reviews using the Payer Platform.
Elevance Health IncHealth OS platform reduces prior authorization denials by 61%, improving efficiency and reducing administrative burden.