How to Save Time With Prior Authorization Process Automation

For many healthcare providers, the term prior authorization means an arduous process that only serves to frustrate them. In reality, prior authorizations are a request from a provider to a health plan to obtain authorization for healthcare services for an authorization.

While this was originally intended to protect resources against frivolous usage. It has become a requirement that serves to bottleneck the access to care for many patients. In fact, 1 in 3 providers say that prior authorization processing delays have led to an adverse event for patients. Let’s explore prior authorization process automation below.

The traditional method of prior authorization involves checking patient insurance details, medical records, and clinical documents to see whether prior authorization is needed and if the patient fits the guidelines. Then, if the patient fits, the prior authorization request must be filled out, consistently monitored, and appealed if it’s denied. This can be resource-intensive for healthcare administrative staff, especially in terms of time, effort, and money.

Fortunately, AI-powered prior authorization process automation systems allow you to easily simplify this process. It automatically retrieves medical data and verifies the need for PA. It fills out the necessary documents and even monitors the case status. On top of all that, it even updates medical records when a prior authorization is approved for a patient. Most importantly, it frees up your staff to get back to helping your patients.

Using traditional methods, 93% of physicians say prior authorizations leave them with a very high administrative burden. 35% of offices hire exclusively to complete these prior authorizations and keep track of them. Instead, with AI authorization automation, each staff member has 12 hours a week freed up to get back to helping their patients. Regardless of what services you provide for your patients, take advantage of automated prior authorization. The technology lets you get back to improving patient experience and getting them healthier sooner.