Prior Auth Software Case Study:
Discover How This Health Plan Saw a First Year IRR of 199%

From Agadia’s Case Study Collection

PAHub: Prior Auth Software

The Client:

A Health Plan with both commercial and Medicare business with CMS regulatory requirements is using a semi-automated process to address requests for authorizations, utilizing various systems to retrieve decision information and to distribute results across the organization.

The Challenge/Business Need:

  • Complete documentation
  • Maintain CMS compliance
  • Ability to handle new business without adding staff
  • Complex operational reporting
  • Enterprise dissemination of PA data
  • Support a large, specialized work force

Solutions Provided:


  • PAHub Prior Auth Software
  • Enterprise CS system integration
  • Full documentation & audit support
  • Custom sFTP reporting support
  • Custom work queues by department
  • Peer to peer notification capabilities

From Agadia’s Case Study Collection


Annual Peak Volume Handled with 70% of Previous Staff Levels

Prior Auth Software

First Year IRR of 199%


Easier Compliance
with CMS Processing Requirements Using Custom Queues/Alerts

Integrated PA Data, enabling a
Single Access Point for answering questions





9 Campus Drive, Parsippany NJ 07054

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