Case Study: Prisma Health scales prior authorizations with Waystar

Prisma Health and Advocate Health scale prior authorizations with Waystar

Prisma Health, a leading health system, faced significant administrative burdens and patient delays due to manual prior authorization processes. To address this challenge, they partnered with the vendor Waystar to implement a modern prior authorization solution integrated with their Epic® EHR system.

The solution implemented by Waystar used automation that began the moment an appointment was scheduled, moving authorization requests through payer connections without manual intervention. This reduced repetitive manual work, eliminated the need for staff to use payer portals or make phone calls for many cases, and provided clearer visibility into requests needing attention. Waystar helped Prisma Health build a more scalable and efficient approach, allowing teams to focus on cases requiring human expertise.

Prisma Health