Intelligent Health.tech Issue 28 | Page 52

ARTIFICIAL INTELLIGENCE

ELEMENT5 TRANSFORMS PRIOR AUTHORISATION PROCESS WITH ITS NEW AI AGENT SOLUTION : NEOS

Element5 , an innovator in postacute care operations , is changing how eligibility verifications and authorisations are processed with its new agentic automation solution , Neos . Automating processes that simplify the patient ’ s financial journey , Neos uses AI Agents that communicate , make decisions and complete required tasks . This eventdriven , business process orchestration platform is configurable to specific agency needs and scalable for growth .

Neos is set to revamp productivity for back-office staff by replacing manual , error-prone administrative work methods with AI-driven automation . This unified solution empowers users to track eligibility and authorisations , resolve exception handling and view insightful analytics all in one place .
Through Element5 ’ s proven agentic automation platform , Neos effectively establishes an integrated network that connects disparate systems across the broader post-acute ecosystem .
“ Neos is a game-changer for our team ,” explains Authorisations Manager at Alternate Solutions Health Network ( ASHN ) Krystal Kinley , whose company is an early adopter of Neos . “ The platform delivers a true one-stop shop , consolidating all the information we need in one place . The filtering features are especially helpful , making it easy to work with various payors and providers efficiently .”
Implementing Neos provides access to :
• AI Agents : Employ agents to orchestrate actions across workflows , make decisions and seamlessly hand off to staff as needed for exception handling .
• Centralised Visibility : Consolidate the view of all auth and eligibility transactions for a more holistic approach to submitting requests and tracking status .
• Action Centre : Dedicate time to areas where attention and remediation are needed most , using ‘ work by exception ’ rules that flag human-in-the-loop needs .
• Analytics and Reporting : Track status and discover trends across portal , payor , plan to analyse outcomes and better prepare for contract negotiations .
Joe Randesi , Co-founder and CEO Element5 , said : “ Witnessing the success of automating individual workflows over the past five years , we saw a huge opportunity and invested heavily in developing a consolidated agentic automation strategy across the entire patient financial journey . Our strategy of Neos ’ AI-agent first design is reinventing the operational landscape for post-acute operations .” �
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