The Impact Of Automated Authorization System

In the Healthcare realm, prior authorization automation requires providers to be granted insurance approval before delivering their services. While this system aims to manage costs, it often causes significant delays, with one in three providers reporting that processing issues hinder timely patient care.

The traditional manual process involves checking insurance details, submitting requests, and following up, often resulting in 15-20 minute wait times. If denied, providers must gather additional documentation or appeal the decision, adding to delays. This complexity has serious implications: 35% of providers have hired staff solely for prior authorization, and costs can reach $11 per manual request.

Patients are affected too, facing delays that can lead to hospitalization and severe health risks. Nearly 70% of physicians and patients still rely on manual processes, with 27% of authorizations frequently denied.Orbit offers a solution with its AI-powered automation system, achieving about 60% cost savings and $449 million in overall savings for the U.S. healthcare industry. This technology improves patient experiences by reducing wait times to just five minutes per request, streamlining workflows, and enhancing accuracy. By saving up to 12 hours of labor per week, Orbit addresses the inefficiencies of prior authorization, ultimately paving the way for better patient-centered care.

Source: Orbit Healthcare