Prior authorization · Production

Care New England reports 55% reduction in authorization-related write-offs after automating prior authorizations and notice of admissions with Notable

The problem

Care New England's revenue cycle staff faced mounting manual work for notice-of-admission and prior authorization processes across two EMRs with varying payer rules; CNE estimated each task took ~15 minutes and that keeping pace would require 14 additional FTEs, while average turnaround from authorization submission to patient scheduling was nearly 10 days.

Workflow diagram · grounded in source

NOA or prior auth request initiated

trigger

“CNE is leveraging intelligent automation to automate the highly manual notice of admission (NOA) and prior authorization processes”

Notable executes coded workflow steps

ai_action

“Notable is following steps coded into an automated workflow. There is no guesswork.”

Multi-EMR and payer system interaction

integration

“We have two different EMRs. We have different systems that staff need to interact with on a daily basis, along with following specific rules that vary by payer. With Notable, we were able to standardize and remove the margin for human error”

Authorization or NOA submitted

output

“things as simple as mistakenly faxing to the wrong number. Our process is more accurate and reliable because Notable is following steps coded into an automated workflow”

Staff capacity reallocated to higher-value work

feedback_loop

“Using Notable to streamline NOA and prior authorization processes has allowed CNE to reallocate staff time to high-value initiatives including time consuming federal requirements related to the No Surprises Act”

Reported outcome

Since deploying Notable, CNE reports a 55% reduction in authorization-related write-offs and 2,841 hours saved for staff, with capacity reallocated to high-value work including No Surprises Act requirements and with reduced overtime.

Reported metrics

Authorization-related write-offs reduction55%

Staff hours saved2,841 hours

time per NOA or authorization (baseline)~15 minutes

additional FTEs needed without automation (avoided)14 FTEs

Show all 6 reported metrics

authorization-related write-offs reduction55%

staff hours saved2,841 hours

time per NOA or authorization (baseline)~15 minutes

additional FTEs needed without automation (avoided)14 FTEs

prior authorization turnaround time (baseline)nearly 10 days

staff overtimereduce staff overtime

Reported stack

NotableEMR

Source

https://www.notablehealth.com/customer-stories/care-new-england-reports-a-55-reduction-in-authorization-related-write-offs-since-automating-radiology-prior-authorizations-and-notice-of-admissions

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Frequently asked questions

What did this team achieve with this AI workflow?

Since deploying Notable, CNE reports a 55% reduction in authorization-related write-offs and 2,841 hours saved for staff, with capacity reallocated to high-value work including No Surprises Act requirements and with r…

What tools did this team use?

Notable, EMR.

What results were reported?

Authorization-related write-offs reduction: 55%; Staff hours saved: 2,841 hours; time per NOA or authorization (baseline): ~15 minutes; additional FTEs needed without automation (avoided): 14 FTEs (source-reported, not independently verified).

How is this prior authorization AI workflow structured?

NOA or prior auth request initiated → Notable executes coded workflow steps → Multi-EMR and payer system interaction → Authorization or NOA submitted → Staff capacity reallocated to higher-value work.