Automate Carelon Workflows with AI
By leveraging AI, Carelon can streamline revenue cycle management processes, automating billing actions and ensuring timely follow-ups for claims, thus enhancing overall efficiency and reducing manual errors.Keep your existing Carelon workflows
Reduce admin burden by over 80%
Automate tasks between Carelon and other apps
Processing
Intake & Data Entry for Carelon
Connect to fax or upload documents from Carelon to automatically extract all fields and automate entry into your internal EMR and Billing systems.
Utilization Management
Prior Authorization for Carelon
Submit or adjudicate prior auths with AI that understands the full picture between plan policies and patient histories. Works seamlessly with Carelon.
Verification
Eligibility for Carelon
Run eligibility checks without having to run eligibility checks. GenHealth will login to Carelon, verify patient eligibility, and close the loop in your internal applications.
Orders
DME Resupplies for Carelon
Automate everything from patient outreach, data entry to provider faxes fulfillment. Integrates directly with Carelon workflows.