Your AI Prior Authorization Assistant
Electra by ClarityCare AI

Electra is an advanced decision support tool designed to assist clinicians in making faster, more accurate decisions for prior authorization cases. Leveraging GenAI, Electra parses through insurance criteria and medical records, ensuring compliance with CMS criteria and streamlining the decision process.

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Electra - Your AI Decision Assistant

For Payers

In the evolving landscape of healthcare, payers seek innovative solutions to streamline operations without compromising on quality. Our decision support tool is designed to meet this challenge head-on. By integrating patient benefits, medical guidelines, and prior authorization requests, we deliver a platform that not only speeds up adjudication by 10x but also ensures decisions are informed, accurate, and fair.

Key Benefits:

  • Rapid Case Processing: Leverage AI to filter and highlight relevant information from submitted documentation, accelerating the adjudication process significantly.
  • Informed Decision-Making: Our tool cross-references patient benefits with medical guidelines to provide a comprehensive overview, ensuring decisions are grounded in accuracy and fairness.
  • Operational Excellence: Improve your operational efficiency by reducing the time and resources spent on each case. Elevate your service levels with quicker, more reliable outcomes.
For Payers

For Providers

Navigating the complexities of prior authorizations can be overwhelming. Our cutting-edge solution empowers healthcare providers by leveraging advanced AI to sift through electronic health records (EHR) and medical guidelines with precision. Our aim? To maximize your chances of approval by ensuring every submission is backed by relevant, comprehensive data.

Key Benefits:

  • Efficiency at Your Fingertips: Automate the tedious task of compiling and reviewing necessary documentation. Save valuable time and focus on what truly matters—patient care.
  • Enhanced Approval Rates: Our AI-driven platform analyzes and aligns your submissions with the latest medical guidelines, significantly increasing your success rate.
  • Streamlined Workflows: Integrate seamlessly with existing EHR systems, reducing manual input and the risk of errors. Experience a smoother, faster prior authorization process.
For Providers

Advanced Capabilities

Harness the Power of AI

Electra utilizes cutting-edge AI to analyze insurance criteria against patient records, providing a seamless, accurate, and efficient decision-making process.

FHIR & Da Vinci Protocol

FHIR & Da Vinci Protocol

Employing FHIR standards and the Da Vinci Protocol, we ensure rapid, standardized data connections for real-time processing and interoperability.
HIPAA Compliant

HIPAA Compliant

ClarityCare AI handles HIPAA requirements effortlessly, ensuring the security and privacy of health information during data exchange.
Clarity Care AI

Reach out to hello@claritycare.ai for any inqueries.

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