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Process file · Healthcare
Healthcare
What’s inside: company memory · audit trail
Prior authorisation from the chart; clinician adds one sentence
The question this file answersHow long does a prior-auth request sit in our inbox before anyone even finds the note and the code?
Fits: providers where every encounter generates coding and billing work.
Typical day
What the desk looks like today
Typical pattern, not a measured desk — the healthcare playbook has no volume for prior authorisations, so none is stated. Note, code and payer form live in three places; admin rebuilds the same request each time, then waits on a clinician for a sentence. It bites as the procedure date nears.
What changes
What Monday looks like after
Mid-morning, the authorisation clerk opens a list of requests that are complete except for the clinical sentence, each with the note and codes already attached. The clinician's part shrinks to reading and signing; the chasing between three systems is what disappears.
Typical, not a measured client result. Every figure here comes from the playbook source named below.
How this file is built
We found no published figure for prior-authorisation assembly. The coding range in the healthcare playbook (AHIMA and McKinsey, both 2023) and Deloitte's (2023) document-processing figure describe claims and correspondence; they live on their own files and are not transferred here. Not a clinical outcome.
What we install
What we put in front of the systems you already run
Your EHR and billing tools stay — Epic, Cerner, Athenahealth, Waystar or the ones you run. We point the coding-and-denials build at the request instead of the claim:
- the note, the diagnosis and procedure codes and the payer's form are pulled together from the EHR and the billing system
- the form is pre-filled and the gaps are marked in the file
- the clinician sees only the missing sentence and the submit button — nothing goes to a payer without that signature.
What stays human — and what this will not do
Medical necessity. Peer-to-peer calls. Appeals. The sentence only a clinician can write.
Not a clinical outcome.
What can go wrong — and what we do about it
Payer forms change without notice; a new template defeats the pre-fill until someone re-teaches it, so an incomplete file goes to a person rather than out of the door. If the codes in the note and in the billing system disagree, the request stalls — and that mismatch is usually the real problem, not the paperwork. Medical necessity is never inferred by the model; the coding benchmarks on the parent file are about claims, not authorisations.
What it costs to get there
The path: free 60-second estimate → free 20-minute review → paid audit of this one process (€1.5–3K, typically two weeks) → pilot with your people in the loop (€10–20K, weeks, not quarters). No transformation programme. Prices are public, on the services page →
Scoped in the audit — the playbook has no estimate for this exact desk.
This is about you if…
- Does admin rebuild each prior-auth request from the note, the code and a payer form?
- Do payer forms and codes live in a billing system, not on a shared drive?
What does this mean in euros?
That depends on your volumes and wage costs — this page will not invent the number. The free 60-second estimate runs that calculation from your answers, with every multiplier sourced.
Not a named Aperanda client. Process file · Healthcare.
Short process file. Same build as its parent file; the playbook has no separate volume or benchmark for this desk.
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