Best Practices for Using Generative AI in Automated Response Generation for Complex Decision Making
Generative AI offers significant potential to streamline processes in domains with complex regulatory or clinical documentation. For example, in the context of prior authorization for surgical procedures, automated response generation can help parse detailed guidelines—such as eligibility criteria based on patient age, BMI thresholds, comorbid conditions, and documented behavioral interventions—to produce accurate and consistent outputs. The following document outlines best practices along with recommended architecture and process breakdown approaches to ensure that GenAI-powered responses are accurate, compliant, and reliable.