Case Study: a F20 health insurer accelerates prior authorization with Distyl AI

F20 Health Insurer accelerates prior authorization with Distyl AI, saving $200M+

Distyl AI partnered with F20 Health Insurer to address the challenge of its manual and time-consuming prior authorization process. The insurer required human reviewers to assess requests against clinical policies, a method that was expensive, difficult to scale, and created significant compliance risks.

The solution implemented by Distyl AI was a decisioning system that automates the review of requests and medical records against clinical policies. This platform, which allows clinical experts to refine AI logic using natural language, was deployed in one quarter. It achieved over 90% decisioning accuracy and now accelerates the approval process for more than 200,000 cases monthly, resulting in an estimated $200M+ in cost savings for the insurer.