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Advancing Healthcare Administrative Automation: A Multi-Agent Framework for Prior Authorization and FHIR Interoperability

2026-08-25

Abstract excerpt

Prior authorization (PA) remains one of the most administratively burdensome processes in United States healthcare, delaying medically necessary care and generating billions of dollars in annual administrative costs. The CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F), published in January 2024, requires impacted payers to expose standardized HL7 FHIR application programming interfaces by Janu...

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Literature Corpus work
25aa4dde-0fe4-5ac7-878c-578c71b03588
DOI
10.20944/preprints202608.1698.v1
Open publication

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