The Prior Authorization AI owns the end-to-end PA workflow — gathering clinical documentation, mapping it to payer-specific criteria, submitting the request, and following up until the determination comes back.
Deployment time: ~3 days for a typical practice. Headline metric: 95% approval rate. Average processing time: 3 days, down from a 14-day industry baseline.
The agent learns each payer's quirks over time, so approval rates trend up as it processes more authorizations against the same plans.