Prior Auth Solution Case Study:
Discover How This Health Plan Increased Their PA Processing Speed by 133%

The Client:

A Health Plan specializing in State Medicaid business with stringent regulatory requirements is using a manual process to address requests for authorizations, accessing multiple systems to gather decision information and to disseminate results across the organization.

The Challenge/Business Need:

• Complete documentation
• Faster processing (24 hr turn-around)
• Ability to handle new business
• Easier reporting to State agencies
• Enterprise-wide information sharing
• Support a dispersed work force

Solutions Provided:

• PAHub Prior Auth Solution
• Paperless processing
• Full documentation & audit support
• Integrated faxing service
• Custom reporting support
• Custom work queues
• Web-based software support
• Enterprise integration to share request status across the organization