Referral Authorization Turnaround Tracking

What this automation does, step by step

1. Once a specialist referral requiring prior authorization is logged, this automation automatically starts a turnaround clock against the payer's expected processing window and checks the authorization status daily through the clearinghouse.

2. If an authorization is still pending once it passes the expected turnaround time, an alert routes directly to the prior authorization specialist with the payer, patient, and days-pending clearly listed, so a staff member can call the payer before the delay pushes into the patient's scheduled visit date.

3. Approved authorizations are logged automatically and attached to the referral record, and the referring provider's office receives a status update without anyone needing to call and ask.

4. Practices using this catch stalled authorizations days earlier than manual spreadsheet tracking ever did.