Payer-Provider TrustZone: Prior Authorization

This use case models a Signal Labs TrustZone, which allows a national payer and large health system to handle prior authorization together, while keeping their own storage, models, and decisions. Both run their own instance of SignalOS™ and neither one connects to the other's systems.

An estimated 75% of payers expect to spend more than $10M on AI, in part for improving prior authorization and utilization management. Provider orgnanization are spending on AI as well, in part to draft prior authorization appeals at machine speed. Read how Signal Labs' new model of trust and greater productivity allows stakeholders to refine relationships, grow positive experience ratings from patients and members, lower admin costs, and reclaim physician time to be deployed to patients and care.

• The latest 'arms race in utilization review'

• TrustZone: Increasing productivity and lowering the payer-provider wall in prior authorization

• Up to 720X faster time to response in 75% of PA requests

• Payer: Realizes $9.5M per year savings on 450,000 prior auth requests

• Provider: Reclaims 98,000 staff hours per year with $5.9M in reduced costs

• A new "roadmap" across the payer-provider relationship

• The importance of one governed learning loop