Prior Authorization Processing Automation
Automate prior auth submissions, follow-ups, and approvals to reduce patient care delays.
Solution Overview
Prior authorisation is one of the most time-consuming administrative burdens in healthcare. Cray automates criteria checking, form completion, payer portal submission, status tracking, and appeal preparation — dramatically accelerating approvals and freeing clinical staff from administrative work.
The Manual Process Problem
Clinical and admin staff manually review payer criteria, complete payer-specific forms, submit via fax or portal, track status over days, and prepare peer-to-peer appeal letters when denied — averaging 20–40 minutes per request.
Cray's Automation Approach
AI reads clinical notes to extract relevant diagnosis codes, procedure codes, and clinical criteria. Automated payer criteria matching determines likely approval. Rules-based form completion and portal submission. Automated status polling and notification. AI-assisted appeal letter generation for denied requests.
Key Benefits
Automation Coverage
Target Clients
- HCA Healthcare
- Ascension Health
- Tenet Healthcare
- Providence Health
- CommonSpirit Health
- Advocate Aurora
Why Cray for Prior Authorization?
- 3+ years domain experience
- Deployment in 4–8 weeks
- ROI within 90 days
- 24/7 automated processing
- Enterprise security standards
Related Solutions
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