Academic Medical Center Streamlines Prior Authorization
Reduce cycle time, increase throughput, and improve visibility across intake, follow-up, and status.
Customer
Academic medical center (high-volume prior auth)
A tertiary care organization managing complex specialty services and payer-specific requirements across multiple intake channels.
What changed
Standardized intake, policy-guided routing, and clear queues reduced preventable delays while keeping humans focused on exceptions.
The Challenge
Prior auth delays created administrative drag
- 1Manual intake and policy checks across multiple request channels created delays and rework
- 2Back-and-forth for missing documentation made SLAs unpredictable across service lines
- 3Staff time was consumed by coordination instead of exception handling and clinical escalation
Solution
Neurex Agents applied to repeatable steps
Automated intake and normalization
Standardize requests into a single workflow regardless of how they arrive, so downstream processing is consistent.
Policy-guided routing and checklists
Route work with payer-aware checklists to reduce missing information and preventable delays before submission.
Human-in-the-loop exception handling
Reserve staff time for edge cases and clinical escalation while routine steps are automated with clear rationale.
Audit-ready workflow decisions
Maintain traceability of steps taken, supporting evidence, and status changes for compliance and operational review.
Results
Measured outcomes on targeted workflows
Results reflect measured outcomes on targeted workflows and service lines.
Want to reduce prior auth cycle time?
We’ll map your intake, routing, and follow-up workflows and show where automation creates the biggest SLA impact.