Building Prior Authorization Systems for Healthcare Payors with Amazon Bedrock

This technical session demonstrates how to leverage Amazon Bedrock's foundation models to build an intelligent prior authorization system that meets CMS regulatory requirements while dramatically improving operational efficiency. AWS Engineers and the AWS Generative AI Innovation Center will present a comprehensive architectural approach that combines advanced natural language processing with healthcare-specific workflows. The session showcases how to implement automated processing of Local Coverage Determinations (LCDs), analyze complex medical documentation, and generate explainable prior authorization recommendations. Through real-world examples, attendees will learn how this solution helps healthcare payors meet CMS-0057-F timelines while maintaining compliance and accuracy