Providers and their staff spend nearly 40% of their work week on prior authorization-related administration, which contributes to provider burnout. Understanding what requires prior authorization is consistently one of the biggest pain points cited by our provider partners.

Consumers trust their providers and want to pursue the care they recommend; waiting for prior authorization approval from insurance causes high anxiety and stress for consumers, making them see their health plan as an obstacle to them receiving needed treatment.

Blue Cross Member Service Associates have no visibility into a consumer’s end-to-end process, making it difficult and frustrating to do their jobs. Some consistently toggle between 7-10 technology systems on a daily basis. Burnout rates are high due to manual, often duplicative, processes.