ChatGPT’s rise to notoriety in recent years is nothing short of sensational. It cannot be overstated how much artificial intelligence (AI) technology has changed not only the way people search for information, but also the way people write, generate images, and process information as a whole. The rise of this technology also set the stage for other text-based and non-generative AI’s to create a name for themselves. However, AI has not just affected people recreationally as it has also become an industry changer for commercial purposes.
One industry that has seen an explosion of AI technology is the healthcare industry. An AI agent in healthcare is any AI system or program that performs autonomously on behalf of a healthcare employee. Although only about 1% of all industry software applications use agentic AI as of 2024, that number is expected to climb over 33 times in just 4 years. While there are some use cases for AI in healthcare as a chatbot, the potential AI has can extend far beyond that.
So, what is necessary to get healthcare providers onboard with AI? Around 83% of healthcare staff say that AI should help them spend less time on administrative tasks and help them do their jobs more efficiently. Additionally, AI should be easy to use and provide access to reliable data when utilized. With this in mind, one task that must be done for every patient but is tedious is capturing their insurance information. The process of reviewing their proof of insurance and verifying their benefits when rendering care for them is laborious for administrative healthcare staff.
While this is meddlesome for administrative workers, it is easily expedited by AI technology. AI can extract insurance data from a variety of sources, such as a scanned insurance ID card or picture of a referral order, and then extract that information to the client’s profile. From there, it verifies this client’s benefits by accessing the insurance company’s portal and making a voice call to a company representative. This enables it to not only simplify a customer’s benefits, but also to estimate the out-of-pocket cost for the consumer. The best part is that this process which can be tedious for patients and healthcare staff alike is reduced from hours to just seconds.
When analyzing referral orders and benefits, the AI is also able to make a determination on whether or not a prior authorization needs to be requested. If it is determined necessary, the AI is able to automate the prior authorization request on behalf of the user and track its status in real time entirely autonomously. In addition, AI is able to catalogue and index various types of documents that patients present, such as requisition forms, prescription fill requests, and correspondence letters.
Numerically, the benefits of having an AI on your team should not be underestimated. When it comes to referral processing time, it can shrink the overall processing time to just 24 seconds. On a broader level, over 50 hours a week are saved by AI’s document processing alone and the overall cost savings for an AI agent is between 40% and 70%. By freeing up your staff to better tend to patient needs, a 20% increase in revenue is seen on average.
However, selecting what AI you’re going to use is just as important as what you use your AI for. Many of the most popular AI are ‘public-facing’, which means they source their information from broad types of publicly available data. While more knowledge can be better in some cases, the fact that it has limited access to your private data can mean it simply gives incorrect answers in the context of your business or is just not able to answer niche questions.
Fortunately, enterprise solutions like Orbit AI make it so that you can get the most out of your AI model. With the right AI, you can easily streamline operations to cut down on the menial work and optimize the patient’s overall experience. Furthermore, Orbit AI makes it easy to implement into your current business operations, making sure there are minimal complications. Regardless of whether you’re a provider group or offer health systems, AI is the best way to enhance your healthcare business.
Source: Orbit Healthcare
