Case Study: a leading health plan accelerates benefit verification and access to care with Autonomize AI

leading health plan speeds benefit verification to under 45 seconds with Autonomize AI

A leading health plan faced the challenge of a fragmented and labor-intensive benefit verification process. Their clinical and administrative teams had to manually navigate multiple systems, interpret conflicting information, and reconcile data, which led to delays and inconsistent turnaround times. To address this, they partnered with Autonomize AI to implement an AI-powered benefit verification solution.

Autonomize AI's solution automated and orchestrated real-time eligibility and coverage checks across multiple data sources. It normalized responses, applied organizational rules, and delivered a structured determination in under 45 seconds. This resulted in a significant reduction in manual effort, processing an average of 77,000 requests per week with a 99.5% success rate. The solution accelerated authorization decisions, provided greater clarity to providers and members, and allowed clinical teams to focus more on evaluating care needs.