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

Prior auth request received

trigger

“Notable works authorization requests for Athena Blue Cross, Humana, United Healthcare, and Dean”

OCR reads all documentation

ai_action

“Notable digital assistants read all documentation via optical character recognition (OCR), even if it originates on paper”

Documentation appended for payer

ai_action

“they automatically append the most appropriate documentation for the payer”

Submit to payer portal or e-fax

integration

“submitting and statusing them within payer portals, or with e-faxing the payers”

Approval written to EHR

output

“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

Source

https://www.notablehealth.com/customer-stories/fort-healthcare-automates-prior-authorizations-with-91-success-rate

Read source ↗

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.

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.