Case Study: a leading health plan reduces administrative burden with Autonomize AI

a leading health plan reduces prior authorization processing time by 40% with Autonomize AI

The customer, a leading health plan, faced a significant administrative burden with a fully manual prior authorization intake process. This labor-intensive workflow required six full-time employees to review, extract data from, and route thousands of faxed requests, preventing clinical staff from focusing on member support. To address this, they partnered with Autonomize AI to implement its AI-powered Utilization Management Prior Authorization Solution.

Autonomize AI deployed a solution that automated data extraction, classification, and intelligent routing of incoming faxes. This resulted in an 86% automated routing rate, a 40% reduction in processing time, and the recovery of over 100 staff hours weekly. The health plan reduced intake staffing needs from 6 FTEs to 2 and redeployed four team members to higher-value work, allowing them to expand direct member and provider support.