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Prior authorization, a fancy term for your doctor needing to gain approval from your health insurance company before doing a medical procedure, has typically been a heavily manual process involving lots of steps, reviews and people having to work together. Seeking approval from the insurance company is meant to prevent unnecessary procedures and keep healthcare costs down; however, the lengthy process of prior authorization often leads to delayed or even abandoned care. In an effort to fix this, the Centers for Medicare & Medicaid Services (CMS) issued a proposal in February designed to address how burdensome prior authorization is on the healthcare system, calling for this process to join the digital world.

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