SRS and Aetna CVS Health Integration for Eligibility Verification and Prior Authorization

Connect your systems: Your AI Deployment Engineer establishes secure connections between your SRS Health EHR and Aetna CVS Health's payer platform, mapping critical data elements including patient identifiers, policy numbers, coverage effective dates, benefit details, and authorization requirements. Define the workflow: Work with your team to specify automation triggers – such as real-time eligibility checks when appointments are scheduled, automatic prior authorization submissions for specific procedure codes, and coverage verification before high-cost services. AI Employees take over: Once deployed, your AI Employees automatically query Aetna CVS Health when new appointments are created in SRS, verify active coverage and benefit details, submit prior authorization requests with supporting clinical documentation, and track authorization status updates back into your EHR. Monitor performance transparently: AI Judges continuously track eligibility verification success rates, prior authorization turnaround times, and denial patterns, providing actionable insights into coverage issues and authorization bottlenecks while maintaining complete audit trails for compliance. Scale to more workflows: Expand automation to additional payers, add claims status checking, implement automated appeals for denied authorizations, and integrate pharmacy benefit verification for comprehensive revenue cycle management.