What is SES SPOT?
SES-SPOT is an AI-powered solution that supports value-based care by delivering real-time critical insights that speed the prior authorization process while ensuring the appropriate payer coverage criteria are met.
What it does?
SES SPOT relies on advanced AI to ingest clinical policy and query medical records. By automating the discovery and analysis of critical insights in the medical record, SES SPOT identifies the appropriate services and supports the approval of treatments.
SES SPOT integrates into the physician order workflow, expediting prior authorizations.
Why it matters?
The prior authorization process is costly and labor intensive for healthcare providers. For every ambulatory physician, a supporting FTE spends 10-25% of their time dealing with pending and denied prior authorizations alone. And, limited perspective on payer criteria puts providers at risk for unpaid procedures due to lack of coverage.
SES SPOT delivers real-time decision support to reduce controllable losses and streamline the flow of clinical data to payers by:
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