IEEE Twin Cities Consultants Network - May 14 2026 - Virtual Meeting
Virtual Event: Google Meet, 3:30 - 4:30pm
Emerging Technologies
Topic: Making Prior Authorization Faster and Safer with Agentic AI
Registration is requested
3:30 Welcome and Member Updates (John Berkner)
3:40 Guest Speaker: Making Prior Authorization Faster and Safer with Agentic AI (Tirumala Ashish Kumar Manne)
4:20 Q&A
4:30 Adjourn
Prior authorization is one of the most challenging administrative workflows in healthcare. It often requires providers, payers, and clinical teams to move through multiple systems, gather supporting documentation, interpret medical policies, and wait for manual reviews before a decision can be made. These delays can create frustration for care teams and, more importantly, can slow down patient access to needed services.
This session explores how agentic AI can help modernize prior authorization by supporting tasks such as eligibility checks, policy review, documentation validation, missing-information detection, clinical summarization, exception routing, and appeal preparation. The focus is not on replacing human judgment, but on using AI to reduce manual effort, improve consistency, and help teams make faster, better-informed decisions.
The presentation will also cover the security and governance considerations that matter when AI is introduced into healthcare workflows. Topics include protecting PHI, preventing inappropriate data access, reducing hallucination risk, maintaining audit trails, securing integrations, and ensuring human oversight for complex or high-risk cases.
Attendees will leave with a practical view of how agentic AI can support a faster, safer, and more transparent prior authorization process while preserving trust, compliance, and patient safety.
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Speakers
Making Prior Authorization Faster and Safer with Agentic AI
Biography:
Tirumala Ashish Kumar Manne is a Principal Cloud Architect and healthcare technology leader with more than a decade of experience leading enterprise-scale digital transformation across payer, provider, Medicare, caregiver, and healthcare operations domains. His work has focused on building secure, scalable, and compliant healthcare platforms that improve access, interoperability, operational intelligence, and trusted decision support across complex regulated environments.
He has led architecture initiatives involving Medicare and retirement operations, caregiver support ecosystems, prior authorization, clinical and operational analytics, real-time healthcare intelligence, and responsible AI adoption. His contributions emphasize secure cloud architecture, auditability, resilience, compliance, and measurable operational impact in large-scale healthcare systems serving high-volume, mission-critical populations.
Ashish is also an IEEE Senior Member, active researcher, peer reviewer, and technology contributor in healthcare AI, cybersecurity, cloud security, intelligent decision platforms, and enterprise modernization. His professional work, scholarly contributions, and service to the technology community reflect a sustained commitment to advancing secure, responsible, and practical innovation in healthcare technology.
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Agenda
3:30 Welcome and Member Updates (John Berkner)
3:40 Guest Speaker: Making Prior Authorization Faster and Safer with Agentic AI (Tirumala Ashish Kumar Manne)
4:20 Q&A
4:30 Adjourn