Real-time policy intelligence with AI-driven extraction, EHR integration & 80% faster approvals for seamless prior authorization.
Real time retrieval and analysis of the latest policies.
Saves 80% of time from insurance authorization.
Supports OCR, EHRs, EDI, and Data Warehouses.
Integration with deep clinical documentation.
Automated clinical bundling helps doctors find the right information.
AI help automate insurance authorization submissions.
Prior Authorizations streamline workflows and reduce delays, easing administrative burdens for both providers and patients.
| Monthly Prior Auth Metrics | |
|---|---|
| Prior Auth Requests | 7,000 |
| Cost Saved (Staff Time) (15 mins of time saved / request at $30/Hr) |
$50,000 |
| Revenue Recovered (+1% approval and appeal rates at $500 / procedure) |
$300,000 |
| Appeal Cost Saved* ($43/appeal) |
$25,000 |
| Revenue from Avoided Cancellations (2% cancellation rate improvement) |
$70,000 |
| Additional Revenue (Procedures) ($500 / procedure) |
$35,000 |
| Total Monthly Savings + Incremental Revenue | $487,000 |
| Total Annual Savings + Incremental Revenue | $5,840,000 |
Our intelligent authorization engine accurately determines if prior authorization is needed by referencing payer guidelines and CPT codes. APIs, EDI, and RPA bots automate follow-ups and provide real-time status updates, enabling timely patient communication and procedure scheduling. Effortlessly create and manage cases using intuitive filters, search, and sort options for streamlined workflow efficiency.
Infusions
Musculoskeletal (MSK)
Diagnostic Imaging
Injections
AI-trained staff streamline workflows, automating repetitive tasks and ensuring compliance with payer guidelines. They leverage AI-powered analytics for accurate decision-making, adapting to real-time updates for efficient process management.
One of our specialists will contact you for a personalized demonstration of Prior Authorization Automation AI Process.
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