Case Study: Leading National Healthcare Provider streamlines prior authorization with 10Pearls

Leading National Healthcare Provider cuts PA decisioning from months to weeks with 10Pearls

A leading national healthcare provider was facing challenges with its outdated prior authorization process and legacy clinical decision support system. The inefficient platform caused inconsistent decision-making, delays in care, and strained resources. To address this, they partnered with 10Pearls to optimize their workflows and enhance their decisioning capabilities.

10Pearls designed and developed a comprehensive in-house decisioning system using the Appian platform. The solution automated key prior authorization workflows and featured an intuitive interface and advanced rulesets. This streamlined the entire authorization lifecycle for the healthcare provider. 10Pearls' work reduced the decisioning process from months to weeks and cut platform ownership costs by five times, resulting in enhanced accuracy and improved patient access to necessary treatments.