Prior Authorization Automation

Prevent denials, increase revenue, and improve patient satisfaction.

Studies have shown that the manual prior authorization process can be costly for providers. Estimates suggest it costs between $20 and $30 per request. This adds up to tens of thousands of dollars each year for some providers. Larger health systems can see costs in the hundreds of thousands of dollars.

The manual process of prior authorization can have negative consequences. Delayed patient care, increased administrative workload, and higher claim denials can all occur. This can negatively impact providers’ financial performance.

Prior Authorization has been a key driver behind the cost of denials increasing by 67% in 2022. The health system reported an average of 110,000 claim denials in 2022. The reasons for these denials were narrow: lack of documentation, issues with prior authorization, and lack of documented medical necessity.

Leading healthcare organizations reported that automated prior authorization improves financial performance, staff efficiency, and patient satisfaction. 78% of respondents report improved financial performance after implementing a prior authorization automation solution.

Our prior authorization management and prior authorization workbench use intelligent and robotic process automation (RPA). This reduces the time and effort required by nurses and physicians by almost 50%. This means more time can be spent on patient care and less on administrative tasks.

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