Our Innovative Approach for Payers
Our AI engine streamlines and automates processes like prior authorization and utilization management using generative AI.
Bringing short-term cost savings:
Prior Authorization: We automate prior authorization requests using machine learning, which helps flatten the cost curve, reduces administrative burden, and eliminates manual errors.
Utilization Management: We recommend appropriate alternative pathways for prior authorization based on individual record, which can result in medical cost savings while improving patient outcome.
Addressing healthcare pain points through AI
Our exceptional generative AI and natural language platform automates accurate encoding of payer policies and helps health plans in objectively resolving prior authorization requests in a timely manner. This lays a strong foundation toward promoting transparency to their members.
Basys' deep learning algorithm has specialized medical expertise in various disease areas, including MSK, surgery, and cardiology. This ensures that our recommendations for prior authorization are medically appropriate while improving the patient outcome. It also facilitates a fair dialogue with the clinicians and reduces clinician abrasion.
Our plug & play engine is interoperable, customization-light and integration-light. We follow the HL7 FHIR standards and the Da Vinci protocol to ensure a seamless headstart to work with the health plans.
Forging trust and transparency:
At Basys.ai, we understand that prior authorization is more than just a process – it's the first cornerstone of trust and transparency in healthcare. Our generative AI platform is reshaping prior authorization into a pathway of openness and clarity.
We believe that transparent prior authorization is the first step towards fostering stronger relationships between healthcare stakeholders and ensuring a patient-centric approach that is rooted in integrity and collaboration.
AI Built for Health with Security and Transparency
Fast Healthcare Interoperability Resources (FHIR)
At Basys, we're pioneers in prior authorization transformation. We use the FHIR standard to process requests, ensuring rapid, standardized data connections and real-time processing. Plus, we handle HIPAA requirements effortlessly through the X12 standard during data exchange. Experience hassle-free prior authorization with us.
Substitutable Medical Applications and Reusable Technologies (on FHIR)
Basys leads the way in prior authorization transformation. We use SMART on FHIR to ensure safe access to clinical data across portals and EHRs. Our SMART applications enhance FHIR services while maintaining top-notch security through Identity and Access Management. Experience secure, streamlined prior authorizations with us.
Da Vinci Protocol
At Basys, we follow the Da Vinci Protocol, powered by the FHIR standard, to structure, transfer, and process healthcare data. This ensures consistency and interoperability, enabling us to maintain a standardized code system for utmost accuracy and efficiency in our model. Join us for a streamlined future in healthcare.
Generative AI
Basys' proprietary algorithm uses generative AI to encode payer policies and guidelines. Our engine has been pre-trained on over 10 million medical and claims records. This infrastructure allows basys to automatically match request with policies’ requirement, reducing the administrative burden on payers while maintaining high accuracy.
Natural Language Processing (NLP)
By employing the state-of-the-art large language models, Basys translates unstructured texts in medical notes into structured information, and cross-checks against the policy requirement automatically. This accelerates the request processing time significantly.