BrazilHealthcare and life sciences2024 – ongoingCASSI
AI review of medical procedure authorizations
CASSI automated about 10% of medical authorizations with AI
Problem
CASSI reviewed medical procedure requests manually. Routine reviews occupied technical staff who also needed to handle complex cases.
Approach
CASSI developed AI models to reproduce medical authorization decisions and integrated them into its operational workflow. It used Azure Databricks, Data Factory and Data Lake to connect systems and supply the models with data. Business and technology divisions reviewed the process before it went live.
Results
Takeaway
CASSI automated a minority of authorizations without human intervention, freeing its technical team to concentrate on complex cases.
Categories
- Industry
- Healthcare and life sciences
- Business function
- Production and quality
- Innovation type
- Process innovation
- AI technology
- Predictive analytics and ML
- Adoption
- Built in-house
- Evidence
- Vendor case study
Sources
Source summaries
Microsoft reported that CASSI integrated AI decision models into medical authorization operations. About 10% of authorizations no longer required human intervention, allowing technical staff to focus on complex requests.
Full details are in the original sources.