Case Study
Overview
A specialty care provider network partnered with Innoira to deploy Hyper Automation for streamlining prior authorization requests—integrating payer portals, clinical documentation, and approval workflows into a unified, intelligent process.
BUSINESS CHALLENGES
- Prior authorization requests taking 4-7 business days on average
- Staff spending 35+ hours weekly on phone holds and fax follow-ups
- Delayed approvals causing treatment postponements and patient dissatisfaction
- Lack of visibility into authorization status across multiple payers
SOLUTION IMPLEMENTED
- Created unified prior auth platform connecting to 50+ payer portals automatically
- AI-powered clinical documentation assembly based on payer-specific requirements
- Automated status tracking with intelligent escalation for delayed requests
- Predictive analytics identifying high-approval-probability requests for fast-tracking
Impact Delivered
4 Days→4 Hours
Approval Time
For standard authorization requests
12,000/Year
Staff Hours Saved
Eliminated manual follow-up activities
+25%
Approval Rate
Improvement in first-submission approvals
-85%
Treatment Delays
Dramatic reduction in care postponements