Smarter Authorization, Faster Decisions
Process PA requests faster and more accurately. ParaHealth helps payers reduce manual review while improving provider satisfaction.
The Payer Challenge
Volume is growing. Staff is stretched. Providers are frustrated.
Payers process millions of PA requests annually, straining operational resources and driving up admin costs.
Nearly half of PA submissions arrive with missing or insufficient clinical documentation, requiring costly back-and-forth.
Complex PA requirements create friction with providers and impact network satisfaction and retention.
80% of Requests Never Touch a Reviewer
Routine PA requests that meet clinical criteria are auto-resolved in under a second. Your team only sees the cases that actually need human judgment — complex oncology, specialty drugs, incomplete documentation.
- Routine requests auto-approved against your coverage policies
- Only exceptions and edge cases escalated to clinical reviewers
- Consistent policy application across every single request
Complete Submissions, Not Incomplete Faxes
When providers use ParaHealth, their submissions arrive pre-validated with all required documentation attached. No more back-and-forth requests for missing labs, incomplete step therapy records, or wrong ICD-10 codes.
- Submission completeness jumps from 55% to 98%
- Providers are guided to include everything your policy requires
- Fewer return-to-provider cycles saves your ops team thousands of hours
Providers Stop Calling to Complain
When turnaround drops from days to hours and submissions stop bouncing back, provider friction disappears. Better PA experience means better network satisfaction and fewer support calls.
- Average turnaround drops from 3.2 days to 4 hours
- Provider support calls drop 83% — your team handles real issues
- Network satisfaction scores improve measurably
How It Works
From intake to decision in minutes, not days.
Receive PA
Structured request arrives with complete documentation
AI Triage
Automated clinical criteria matching and risk scoring
Flag Issues
Incomplete items flagged, routine requests auto-resolved
Decision
Approve, request info, or escalate to medical director
Notify
Instant provider notification with decision details
Measurable Impact
Results from day one.
Ready to Modernize Your PA Process?
See how ParaHealth can reduce your review burden and improve provider relationships