How Karova Health Uses AI to Simplify Prior Authorization Submissions

Introduction

Showcase Karova’s drag-and-drop AI tool that analyzes records and fills out prior auths automatically.

Key Features

1. Drag-and-Drop AI Interface by Karova Health

  • Upload clinical documents like PDFs, CCDs, faxes, or EHR exports.
  • Intuitive UI allows staff to drag files into a drop zone without technical know-how.
Medical record analysis for AI-powered authorization submission

2. Karova Health AI Medical Record Analysis for Prior Authorization

  • Automatically parses clinical narratives, diagnosis codes, lab values, treatment history, and insurance information.
  • Uses medical NLP models to identify what’s relevant for PA decisions (according to HealthIT.gov, AI-based tools are revolutionizing medical data processing and clinical decision-making), such as:
    • Step therapy compliance
    • Supporting evidence for medical necessity
    • Prior treatment failures

3. Auto-Fill PA Forms

  • Matches extracted data to payer-specific PA form templates.
  • Auto-fills required fields like:
    • Patient demographics
    • ICD-10/CPT/HCPCS codes
    • Treatment history
    • Provider information

Learn more about how our AI is built from a decade of experience.

Ready to reduce your prior auth workload?
Let Karova Health’s AI handle the heavy lifting—book a demo and see the future of prior authorization in action.