For just about any healthcare provider, prior authorization automation entails a tedious and costly process for both employers and employees alike. In actuality, a prior authorization is a request from a provider to a health plan or insurance payer to receive authorization for healthcare services so that they can bill the insurance. While it was originally created to protect resources and save money, 27% of physicians say prior authorizations are almost always denied regardless of the details. Therefore, the applying, appealing, and applying processes cost around $11 and 20 minutes for each stage, not to mention a ton of frustration.
Fortunately, technological innovation has greatly streamlined this process. Now, with the power of AI, providers can save up to 60% of their existing costs. On top of that, companies like Orbit that offer this AI can cut the turnaround time in half, more accurately input information, and save as much as $9.60 per prior authorization request. With prior authorizations handled, patient experience has been shown to increase and significantly reduce the dependency on teams to manage the prior authorization process. Regardless of what your office offers your patients, using AI for your prior authorization can help your office get back to helping people quickly.
Source: Orbit Healthcare
