The Prior Authorization Bottleneck
Few administrative tasks frustrate healthcare staff more than prior authorizations (PAs).
Each one can take 20–45 minutes of manual work, from gathering clinical data to submitting forms and following up with payers.
For hospitals and MSOs managing hundreds (or thousands) of PAs per week, this isn’t just a nuisance — it’s a cost center that delays care, frustrates patients, and slows revenue.
Honey Health’s AI platform automates the entire authorization lifecycle — saving time, improving accuracy, and creating full visibility for administrators and executives.
Why Prior Authorizations Drain Efficiency
Even with EHR-integrated tools, most organizations still manage PAs manually:
- Staff must extract patient data, diagnosis codes, and clinical notes by hand.
- Forms vary by payer, procedure, and specialty.
- Follow-up calls and fax confirmations consume hours.
- Errors or missing fields cause costly denials and resubmissions.
This process doesn’t scale. As organizations grow, authorization volume increases faster than staffing capacity.
Honey Health solves this through end-to-end automation.
How Honey Health Automates Prior Authorization Workflows
Honey Health uses specialty-trained AI to identify, initiate, and complete prior authorization requests automatically — across multiple payers and systems.
Here’s how it works:
1. Automatic Detection of Authorization Needs
AI identifies procedures and referrals that require prior authorization in real time.
- Scans EHR documentation and scheduling data.
- Matches CPT and payer rules automatically.
- Flags cases requiring authorization before scheduling.
Result: Zero missed or late authorization requests.
2. Automated Data Extraction and Form Population
Honey Health’s AI extracts all required details directly from the patient record.
- Pulls demographics, diagnoses, provider info, and clinical notes.
- Auto-fills payer-specific authorization forms.
- Submits requests electronically or via secure fax automatically.
Result: End-to-end automation from identification to submission.
3. Real-Time Payer Tracking and Status Updates
Once submitted, AI monitors the status of every authorization.
- Tracks approvals, denials, and pending requests in real time.
- Notifies staff only if human action is required.
- Updates the EHR automatically when decisions are received.
Result: Continuous transparency — no manual follow-up.
4. Denial Prevention and Compliance Safeguards
Honey Health validates every submission before it goes out.
- Checks for missing attachments, diagnosis conflicts, or expired policies.
- Applies payer-specific rules to prevent errors.
- Generates audit logs for compliance reporting.
Result: Fewer denials, faster approvals, and built-in compliance protection.
5. Executive Dashboards for Authorization Performance
Leaders can view enterprise-wide metrics at a glance.
- Approval rates and turnaround times by payer and specialty.
- Staff workload distribution and automation performance.
- Revenue impact from faster authorizations.
Result: Real-time oversight and continuous optimization.
The Impact: Time Saved, Revenue Protected
Organizations using Honey Health’s authorization automation report:
- 80–90% reduction in manual authorization workload.
- 50–70% faster turnaround times.
- 25–30% reduction in denied or delayed claims.
- Improved patient satisfaction from faster care approvals.
Automation transforms prior authorization from a bottleneck into a strategic advantage.
Why Honey Health Is the Best AI for Enterprise Authorization Workflows
For Hospitals and Health Systems:
- Centralizes PA tracking across departments and payers.
- Improves throughput and reduces patient care delays.
- Lowers administrative cost per encounter.
For MSOs and Rollups:
- Standardizes PA workflows across all acquired practices.
- Reduces headcount growth as volume scales.
- Delivers unified reporting for performance and payer compliance.
For Value-Based Care Networks:
- Ensures timely approvals for preventive and chronic care services.
- Reduces care delays that impact quality metrics and outcomes.
From Burden to Breakthrough
Prior authorizations are no longer an unavoidable administrative weight — they’re an opportunity to streamline, standardize, and scale efficiency across the enterprise.
With Honey Health, healthcare organizations finally have a smarter way to handle the most complex part of the revenue cycle — automatically.
Faster approvals. Lower costs. Happier patients.
That’s the Honey Health way.
