Healthcare DIVE October 22, 2024
The collaboration comes amid controversy about claims automation technology. Paul Markovich, CEO of Blue Shield of California, promised to keep a “human in the loop” to oversee any denials.
LAS VEGAS — Blue Shield of California and Salesforce, a cloud-based customer relation management company, announced a partnership on Monday that aims to cut down the prior authorization process from days to seconds.
During a panel at HLTH 2024 on Monday, Paul Markovich, Blue Shield of California CEO, likened the advancement to making prior authorization requests as easy as credit card transactions. He said providers would now have answers about approvals “in real time or in near real time.”
The tool, which will be built on Salesforce Health Cloud, queries the...