Smart Data Solutions (SDS), a leader in healthcare process automation, has partnered with Basys.ai, an innovator in AI-powered healthcare technology. This collaboration introduces a transformative solution for health plans and third-party administrators (TPAs) to streamline prior authorization processes, addressing the growing complexities of regulatory compliance and administrative efficiency.
SDS and Basys.ai collaborate to enhance prior authorization for health plans and TPAs.
AI-driven automation reduces manual workflows and speeds up approvals.
Solution ensures compliance with CMS Interoperability and Prior Authorization Final Rule.
Partnership improves operational efficiency and member care outcomes.
Combines SDS’s automation expertise with Basys.ai’s advanced AI capabilities.
Enables faster decisions, cost savings, and regulatory adherence.
The prior authorization process has long been a bottleneck for health plans and TPAs, marked by manual workflows, delays, and high administrative costs. The partnership between SDS and Basys.ai introduces an AI-driven, end-to-end solution that automates every stage of prior authorization. By leveraging machine learning and automation, this solution minimizes inefficiencies, accelerates approval times, and enhances decision accuracy. "For health plans and TPAs, operational efficiency isn't just a goal—it's a necessity," said April Gill, Chief Commercial Officer of SDS. This collaboration empowers payers to focus on improving member care while managing costs effectively.
The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F) has heightened the need for transparent and efficient prior authorization processes. Health plans face pressure to modernize workflows while maintaining compliance. The SDS-Basys.ai solution integrates cutting-edge machine learning with proven automation to meet these regulatory requirements. "By integrating cutting-edge machine learning with proven automation, we're delivering the tools payers need to meet regulatory demands and enhance operational performance without compromising member care," said Patrick Bores, Chief Technology Officer of SDS. This ensures payers can adapt to evolving mandates while maintaining operational excellence.
The partnership prioritizes member satisfaction by reducing delays in prior authorization approvals. By automating processes, health plans and TPAs can deliver faster, more accurate decisions, improving the overall member experience. Amber Nigam, CEO of Basys.ai, emphasized: "Health plans and TPAs are constantly balancing efficiency with member satisfaction. This partnership equips them with a powerful solution to streamline prior authorizations, enabling faster decisions and cost savings while ensuring compliance with CMS mandates." The result is a more member-centric approach that aligns with the industry’s shift toward value-based care.
This collaboration enhances SDS’s existing suite of healthcare solutions, including Clearinghouse++, Intelligent Medical Records, and Claim Operations. By incorporating Basys.ai’s AI capabilities, SDS further solidifies its position as a leader in healthcare automation. The partnership equips payers with tools to navigate the complexities of prior authorization while driving operational efficiency and cost savings.
The SDS-Basys.ai partnership marks a significant step toward modernizing healthcare processes. By combining automation and AI, this solution empowers health plans and TPAs to overcome operational challenges, meet regulatory requirements, and deliver better outcomes for members.
TechIntelPro empowers B2B technology decision-makers with the latest industry trends, deep insights, leadership perspectives and actionable intelligence to drive both organizational and professional milestones—and thrive on the tech pulse.