Prior Authorization Automation: What Actually Works
Prior auth is the most hated workflow in healthcare. Automation helps, but only if it addresses the real bottlenecks: data assembly, payer rules, and follow-up tracking.
Prior auth is a data problem disguised as a form problem
Clinics spend 13 hours per week per physician on prior authorizations. The problem is data assembly, not paperwork.
What automation can do today
Eligibility pre-check, clinical data assembly, payer rule matching, and submission tracking.