Prior authorization · Production

Fort HealthCare automates prior authorizations with 91% success rate using Notable

The problem

Fort HealthCare's ambulatory surgery center faced 2X the prior authorization volume relative to on-site staff capacity, with several weeks of backlogged submissions delaying patient care, and 38% of calls at one clinic going to voicemail, forcing patients to call repeatedly and doubling staff workload.

Workflow diagram · grounded in source
1
Prior auth request received
Trigger
Notable works authorization requests for Athena Blue Cross, Humana, United Healthcare, and Dean.
▾ source quote
“Notable works authorization requests for Athena Blue Cross, Humana, United Healthcare, and Dean”
2
OCR reads all documentation
Ai action
Notable digital assistants read all documentation via optical character recognition (OCR), even if it originates on paper.
▾ source quote
“Notable digital assistants read all documentation via optical character recognition (OCR), even if it originates on paper”
3
Documentation appended for payer
Ai action
The system automatically appends the most appropriate documentation for the payer.
▾ source quote
“they automatically append the most appropriate documentation for the payer”
4
Submit to payer portal or e-fax
Integration
Authorization requests are submitted and statused within payer portals, or sent via e-faxing to the payers.
▾ source quote
“submitting and statusing them within payer portals, or with e-faxing the payers”
5
Approval written to EHR
Output
The approval is written back into the EHR.
▾ source quote
“write the approval back into the EHR”
Reported outcome

After deploying Notable, 91% of prior authorizations are successfully submitted, saving 15 minutes per successful submission.
The registration process reached a 74% digital completion rate with more than 5% fewer cancellations. The system went live in four weeks.

Reported metrics
Prior authorization success rate91%
Digital completion rate74%
Cancellation reductionmore than 5%
Time saved per prior auth submission15 minutes
Show all 7 reported metrics
prior authorization success rate91%
digital completion rate74%
cancellation reductionmore than 5%
time saved per prior auth submission15 minutes
weeks to go-livefour weeks
prior auth volume vs staff capacity (problem baseline)2X
calls going to voicemail (problem baseline)38%
Reported stack
NotableOCR
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Source
https://www.notablehealth.com/customer-stories/fort-healthcare-automates-prior-authorizations-with-91-success-rate
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Frequently asked questions

What did this team achieve with this AI workflow?

After deploying Notable, 91% of prior authorizations are successfully submitted, saving 15 minutes per successful submission.

What tools did this team use?

Notable, OCR.

What results were reported?

Prior authorization success rate: 91%; Digital completion rate: 74%; Cancellation reduction: more than 5%; Time saved per prior auth submission: 15 minutes (source-reported, not independently verified).

How is this prior authorization AI workflow structured?

Prior auth request received → OCR reads all documentation → Documentation appended for payer → Submit to payer portal or e-fax → Approval written to EHR.

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