Prior Authorization Doc

Prior Authorization Automation

Reduce costs by 60% and approval time by 50%

Learn how Digital Blue's intelligent prior authorization automation eliminates the frustrating maze of faxes, phone calls, and denials—giving your nurses hundreds of hours back for patient care.

The Challenge: Healthcare's Broken Prior Authorization System

Your team spends up to 20 hours per week per provider navigating the prior authorization maze, only to face an 80% initial denial rate. This isn’t just operational inefficiency—it is a financial hemorrhage that delays patient care and burns out your clinical staff.

Our Solution: Intelligent, EMR-Integrated Automation

The Digital Clinical Assistant (DCA) manages the entire PA lifecycle within your existing EMR. It understands payer-specific requirements, learns approval patterns, and automates routine authorizations while flagging complex cases for clinical review—all without disrupting your workflows.

How It Works

Automated Request Generation

DCA automatically identifies services requiring a PA, assembles complete requests with supporting documentation, and submits them via the payer’s preferred channel.

Intelligent Submission & Tracking

The system monitors status in real time, escalates stalled requests, and follows up automatically according to payer timelines.

Exception Management

Complex cases are routed to the right clinical staff with everything they need to respond. Once resolved, DCA resumes automated handling.

Key Impact:

• 60% Cost Reduction

• 50% Faster Approvals

• 300+ Hours Saved