Blue Shield of California Partners with Salesforce to Automate Prior Authorization
Carrier Updates
Thursday, October 24 2024
October 22, 2024 - (Susanna Vogel) Blue Shield of California and Salesforce, a cloud-based customer relation management company, announced a partnership on Monday that aims to cut down the prior authorization process from days to seconds. Making prior authorization requests as easy as credit card transactions.
During a panel at HLTH 2024 on Monday, Paul Markovich, Blue Shield of California CEO, likened the advancement to making prior authorization requests as easy as credit card transactions. He said providers would now have answers about approvals “in real time or in near real time.”
The tool, which will be built on Salesforce Health Cloud, queries the patient’s electronic health record for relevant clinical information and organizes the data into a pre-populated form for physicians to submit to Blue Shield, according to a press release accompanying the announcement.
If a case requires additional clinical consultation, the submitting physician will receive a message within hours of the initial submission, according to Markovich.
To Read More Click Here
During a panel at HLTH 2024 on Monday, Paul Markovich, Blue Shield of California CEO, likened the advancement to making prior authorization requests as easy as credit card transactions. He said providers would now have answers about approvals “in real time or in near real time.”
The tool, which will be built on Salesforce Health Cloud, queries the patient’s electronic health record for relevant clinical information and organizes the data into a pre-populated form for physicians to submit to Blue Shield, according to a press release accompanying the announcement.
If a case requires additional clinical consultation, the submitting physician will receive a message within hours of the initial submission, according to Markovich.
To Read More Click Here