Real-time predictive auth recommendations, built on your rules and data.
Optimizer automatically approves requests that clearly meet your plan's criteria. It prepares everything else for fast clinical review and gets smarter with every case.
The problem
Most authorization requests are routine with high likelihood for approval, yet many still wait in the same queue as complex cases due to missing documentation and unoptimized rulesets. That slows care for members, frustrates providers and ties up clinical staff on work that doesn't need their judgment.
The ZeOmega approach
Smart Auth Optimizer is ZeOmega's AI-driven prior authorization solution that uses artificial intelligence (AI) and data science techniques to automate, streamline, and accelerate the prior authorization process for procedures and medications by deciphering various data patterns and giving “likelihood to approve” scores in near real time.
Automation you can monitor and trust.
Automatically approves authorization requests in near real time
Performs AI fairness analysis and recommendations
Monitors model performance and data drift
Trained on your history. Tuned to your thresholds.
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Fine-tune ZeOmega's proprietary data model using each health plan's historical claims data.
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Generates optimized auto-approval rule sets.
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Proprietary AI and Machine Learning models provide real-time likelihood of approval prediction.
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Auth requests which meet pre-configured thresholds are auto-approved.
Lower cost. Faster answers.
See how much of your queue can move in real time.
We'll show you how Optimizer scores requests using your own rules and data.