BEGIN:VCALENDAR VERSION:2.0 PRODID:-//ChamberMaster//Event Calendar 2.0//EN METHOD:PUBLISH X-PUBLISHED-TTL:P1H REFRESH-INTERVAL:P1H CALSCALE:GREGORIAN BEGIN:VTIMEZONE TZID:America/New_York BEGIN:DAYLIGHT RRULE:FREQ=YEARLY;BYMONTH=3;BYDAY=2SU DTSTART:20070101T000000 TZOFFSETFROM:-0500 TZOFFSETTO:-0400 TZNAME:Eastern Daylight Time END:DAYLIGHT BEGIN:STANDARD RRULE:FREQ=YEARLY;BYMONTH=11;BYDAY=1SU DTSTART:20070101T000000 TZOFFSETFROM:-0400 TZOFFSETTO:-0500 TZNAME:Eastern Standard Time END:STANDARD END:VTIMEZONE BEGIN:VEVENT DTSTART;TZID=America/New_York:20251009T130000 DTEND;TZID=America/New_York:20251009T140000 X-MICROSOFT-CDO-ALLDAYEVENT:FALSE SUMMARY:Standards to Smarter Decisions: HL7 FHIR\, Da Vinci\, and AI-Powered Prior Authorization with Clinician Oversight\, sponsored by MCG Health DESCRIPTION:Prior authorization is transitioning from a manual and fragmented process to a coordinated and standards-driven exchange of decision-ready data. By agreeing to share the right information in HL7 FHIR-based formats aligned with the HL7 Da Vinci Project\, CRD/DTR/PAS\, payers and providers enable reviewers to make faster and more informed determinations.\nThis session will explore how superior data exchange using HL7 FHIR standards can enhance LLMs and agentic automation\, gathering\, structuring\, and matching evidence to criteria without entirely replacing essential clinical judgment. We will share practical approaches to combining automation efficiency with transparent "glass-box" metrics\, allowing stakeholders to see both the speed and soundness of each decision.\n\nAttend this webinar to:Identify how HL7 FHIR and HL7 Da Vinci standards enable decision-ready data exchange between payers and providersDesign automation that balances speed\, accuracy\, and transparency with reviewer oversightApply a "glass-box metrics" (in LLM AI era) approach to build trust and measure both efficiency and decision quality\nYour Presenters:\nRajesh (Raj) GodavarthiAssociate Vice President of Technology and InteroperabilityMCG Health\nSeun BalogunManager IT and Client DeliveryenGen X-ALT-DESC;FMTTYPE=text/html:

Prior authorization is transitioning from a manual and fragmented process to a coordinated and standards-driven exchange of decision-ready data. By agreeing to share the right information in HL7 FHIR-based formats aligned with the HL7 Da Vinci Project\, CRD/DTR/PAS\, payers and providers enable reviewers to make faster and more informed determinations.


This session will explore how superior data exchange using HL7 FHIR standards can enhance LLMs and agentic automation\, gathering\, structuring\, and matching evidence to criteria without entirely replacing essential clinical judgment. We will share practical approaches to combining automation efficiency with transparent &ldquo\;glass-box&rdquo\; metrics\, allowing stakeholders to see both the speed and soundness of each decision.



Attend this webinar to:

  1. Identify how HL7 FHIR and HL7 Da Vinci standards enable decision-ready data exchange between payers and providers
  2. Design automation that balances speed\, accuracy\, and transparency with reviewer oversight
  3. Apply a &ldquo\;glass-box metrics&rdquo\; (in LLM AI era) approach to build trust and measure both efficiency and decision quality


Your Presenters:


Rajesh (Raj) Godavarthi

Associate Vice President of Technology and Interoperability

MCG Health


Seun Balogun

Manager IT and Client Delivery

enGen

LOCATION: UID:e.1359.1252127 SEQUENCE:3 DTSTAMP:20260728T222512Z URL:https://workgroupforelectronicdatainterchangewedi.growthzoneapp.com/event-calendar/Details/standards-to-smarter-decisions-hl7-fhir-da-vinci-and-ai-powered-prior-authorization-with-clinician-oversight-sponsored-by-mcg-health-1464021?sourceTypeId=Hub END:VEVENT END:VCALENDAR