What is Question Set Automation?

Question Set Automation is a capability within Prior Authorization Automation that streamlines electronic prior authorization (ePA) workflows.

It automatically answers payer question sets by pulling structured clinical data directly from the patient’s electronic health record (EHR). Using pre‑coded logic and discrete chart data, the system completes and submits responses on the provider’s behalf, eliminating the need for staff to manually enter clinical information.

This approach improves accuracy, reduces administrative burden, speeds up determinations, and helps prevent delays in patient care. Question Set Automation also expands automated capability by automating Prior Authorization (PA) messages for medications and payers not fully integrated with our current solution.