en.Wedoany.com Reported - Pinaki Saha, founder and CEO of Anshar AI, stated that approximately 40% to 50% of medical claims in the healthcare sector are denied. Processing a single claim denial can take up to 14 hours, leading many providers to abandon claims. Additionally, doctors spend half of their working hours on administrative tasks, with obtaining approval for high-cost drugs potentially taking up to ten hours per instance. To address these issues, Anshar AI has launched two AI agent tools: PriorAuthPilot and DenialFighter, aimed at optimizing administrative processes for healthcare organizations.

PriorAuthPilot integrates patient record information with evidence from public literature, reducing the drug approval process from ten hours to minutes. DenialFighter reads denial notices and identifies the evidence needed to get a claim approved. Both tools are suitable for physician scenarios and cater to the needs of Chief Financial Officers in healthcare institutions. Site integration with electronic health records is expected to take two to three weeks, with no changes required to existing workflows. Staff only need to review and approve the results generated by the AI agents.

Saha clarified the boundaries for AI agent applications in healthcare, stating that AI should not make clinical decisions but can identify when consultation with a doctor is needed to complete a claim. Anshar AI offers a catalog of 41 agents, enabling customers to launch deployments within 4 to 6 weeks, providing a fast track for healthcare organizations to derive value from AI agents.

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