Our solution’s innovative approach: Savings: By seamlessly integrating disease progression prediction into prior authorization decisions, our solution personalizes treatments, saving plans up to one-fifth of medical and administrative expenses within four months and automating up to 85% of decisions. Time: Our agile infrastructure and generative AI-encoded payer policies allow for rapid integration without the need for sensitive information or payer data. Compared to industry standards, we are capable of launching a pilot up to nine months faster and reducing prior authorization time by up to eight days. Explainability: Our platform’s platform's patented chatbot cross-references disease profiles and severity with relevant scientific literature, providing answers to member and provider queries about coverage decisions. Accuracy: Our algorithm approves clinically appropriate care pathways, optimizing member outcomes. Communication: Our platform reduces friction with auto-filled forms and real-time communication with providers through the chatbot feature. The result is a transparent, efficient, and neutral platform that reduces administrative and medical expenses while improving member outcomes.

Make your operations more efficient: With Passport Authorizations, inquiries take place without user intervention, as does status monitoring. Submissions guide staff through the workflow, auto-filling all information Experian Health has received and prompting users only if their involvement is required. Access the industry’s most complete payer database: Experian Health's pre-authorization knowledge base stores and dynamically updates payer prior authorization requirements. Your staff can check whether prior authorization is required for a particular procedure or service, and the knowledge base automatically responds to queries with information needed.

Experian is a global information services company that provides information, analytical tools, and marketing services to help clients manage their commercial and financial decisions. The company helps organizations manage credit risk, prevent fraud, target marketing offers, and automate decision making. It also enables individuals to check their credit report and credit score as well as protect against identity theft. The company is listed on the London Stock Exchange (EXPN) and is a constituent of the FTSE 100 index. Experian was co-founded by Michael A Barron and Bernie Brenner in January 1980 and has its corporate headquarters in Dublin, Ireland, with operational headquarters in Nottingham, United Kingdom; California, United States; and São Paulo, Brazil.