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Priage — Workflow Detail
✓ Demo Available

Prior Authorization Lookup

Care coordinator checks authorization status and outstanding requirements instantly.
CUSTOMER INITIATES VIA Phone / Internal System
Care coordinator calls insurance or checks system to verify prior authorization status before scheduling a procedure.
Care Coordinator: "Is prior auth approved for patient 4471's MRI?"
Checks authorization status, outstanding docs, plan requirements instantly. <1 min vs 15-30 min.
⏱️ <1 min | 📋 No lookups | ✅ Real-time

ROI & Business Impact

96% faster authorization lookup (<1 min vs 15-30 min)
466 agent-hours freed daily
$2.9M annual savings on staff time
Zero missing prior auth documentation
01 — Patient Lookup
Finding patient in system
Patient 4471 found. Insurance: Blue Cross. Plan: PPO Plus.
02 — Authorization Search
Searching for MRI authorization
Found: Auth ID AUTH-445771. Status: Approved. Valid through: 9/30/2026.
03 — Requirements Check
Verifying outstanding requirements
No outstanding documentation. Imaging center pre-approval: ✓ Completed. No referral required for MRI under PPO Plus.
04 — Summary
Generating authorization summary
Authorization is active, no holds, no requirements. Patient can proceed to imaging.
Priage Response

Authorization Status: APPROVED
Auth ID: AUTH-445771
Facility: Any in-network imaging center
Valid through: 9/30/2026
Patient can proceed to schedule MRI

This is one workflow. See how the same framework applies across your institution.

Try all use cases in the demo