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Blue Shield of California, Salesforce Making Prior Authorization as Simple as Using a Credit Card | PR Newswire [Video]

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Machine Learning in CRM
  •  Nonprofit health plan’s prior authorization platform solution built on Salesforce Health Cloud will work within physician systems to gather relevant clinical data from electronic health records and streamline 20+ disparate systems; members and physicians will get prior authorization in near real-time
  •  Testing begins in early 2025 with limited rollout later in year; near real-time prior authorization available January 2026; additional capabilities to follow

, /PRNewswire/ — Blue Shield of California and Salesforce (NYSE: CRM), the #1 AI CRM, are teaming up to solve a significant healthcare challenge — providing physicians and their patients prior authorization answers in near real-time, rather than days. Together, Blue Shield and Salesforce will make prior authorization simpler, faster and more transparent. The platform solution, which will be built on Salesforce Health Cloud, will also connect members to personalized health support by automatically alerting care teams of prior authorization requests.

Health plans rely on prior authorization to ensure certain recommended treatments and services are safe, evidence-based and high-value …

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