Profile: 150+ providers across multiple Texas locations, running on Epic. Headline outcome: 24X ROI over a 12-month implementation.
The challenge: Prior authorization bottlenecks were causing roughly $2M in annual lost revenue. Approvals were taking 14 days on average; the practice's approval rate was stuck around 65%.
The AI solution: We deployed the Prior Auth AI and the Claims Processing Agent in parallel, both integrated against Epic.
The results: Prior authorization approval rate moved from 65% to 95%. The practice captured $2.4M in additional revenue in the first 12 months. Administrative overhead dropped by 80%. Average PA processing time fell from 14 days to 3 days.