A regional Medicare Advantage plan serving 120,000+ members was processing over 400 prior authorization requests per day — with reviewers spending the majority of their time on data entry, not clinical judgment. They deployed Case Health AI to automate intake and medical necessity review, and reduced their daily PA workload in half within the first month.
"Our reviewers were buried. Every morning started with 400 cases in the queue, most of them just waiting on someone to read a fax and type in a code. Case Health AI took that work off the plate entirely — our team now focuses on the cases that actually need clinical judgment."
VP of Utilization Management · Medicare Advantage plan, 120,000+ membersWhat they deployed
About the organization
Plan type
Medicare Advantage
Members
120,000+
Time to deploy
4.5 weeks
