Case Study: Piedmont Community Health Plan achieves faster authorization turnaround and greater efficiency with Medecision

Piedmont Community Health Plan Automates Authorizations to Improve Efficiency

Piedmont Community Health Plan, a regional health plan in central Virginia, needed to replace an inefficient, home-grown authorization process that required incomplete submissions, manual data entry into multiple systems, and frequent follow-up phone calls. Working during the early days of the pandemic and a rapid shift to remote work, the team sought a better way to manage prior authorizations and improve communication with providers.

Medecision implemented its Aerial™ digital platform to automate and integrate authorization requests, streamline workflows, and enable secure two-way communication with built-in required fields and auto-approval rules. The result was a 57% improvement in average turnaround time, bringing authorizations down to less than a day by Q4 2020, while also sharply reducing phone calls and manual work for staff.

Piedmont Community Health Plan

Terrie Moore

Utilization Review Nurse and Team Lead