• 1–2 Day Authorization Turnaround
• 70% Fewer Authorization Denials
• 75–85% Less Staff Effort Required
Overview
A specialty care network struggled with slow prior authorization approvals, delayed appointments, and heavy administrative burden. Manual data gathering, payer-portal submissions, and ongoing status checks created bottlenecks and patient dissatisfaction. GeBBS deployed an RPA-driven Prior Authorization Automation solution that accelerated submissions, reduced errors, and provided real-time visibility into authorization status.
Opportunities & Challenges
The manual authorization workflow led to:
• 2–7 day turnaround times for key procedures
• 30–60 minutes of staff work per request
• 15–20% denial rates due to missing documentation
• No centralized visibility into authorization status
• Scheduling delays impacting patient outcomes
Solution
Automated Intake, Submission & Authorization Tracking
GeBBS’ RPA automation:
• Identified procedures requiring prior authorization and collected required data
• Auto-submitted authorization requests to payer portals with complete documentation
• Monitored real-time status updates and routed issues for rapid intervention
• Managed additional payer requests and centralized updates within tracking dashboards
Outcomes
• Turnaround Time: Reduced from 2–7 days to 1–2 days
• Denials: 70% fewer missing-information denials
• Staff Efficiency: 75–85% reduction in manual effort per request
• Patient Access: Faster scheduling and improved care continuity
• Visibility: Real-time dashboards across all authorizations
Key Takeaways
• Authorization automation accelerates approvals and reduces administrative waste.
• Standardized workflows strengthen compliance and reduce denials.
• Real-time visibility improves scheduling accuracy and patient coordination.
Conclusion
GeBBS’ Prior Authorization Automation modernized a critical front-end process, improving patient access, reducing workload, and enabling faster, more predictable authorization decisions.
Client Testimonial
“Our authorization queue no longer slows down our clinics. Approvals arrive faster, and our staff can finally focus on patient preparation—not paperwork.”
— Executive Director, Access & Scheduling
