Case study · Cardiology · The Carolinas
Prior auths in 2 days instead of 8.
A multi-site cardiology group in the Carolinas ran every imaging and procedure auth through one overloaded coordinator. Eva took over the queue - here's the first 30 days, measured against the group's own baseline.
214
prior auths filed in the first 30 days
92%
submitted the same day the order was written
1.9 days
average approval turnaround, down from 8 at baseline
~31 hrs
of staff time returned to the front office every week
The challenge
Every late auth was an empty slot on the schedule.
Nuclear stress tests, CT angiograms, ablations, devices - nearly everything the group ordered needed payer sign-off, and it all funneled through a single coordinator. Auths went in days after the order, approvals dragged past a week, and procedures got bumped or rescheduled while imaging slots sat empty.
The solution
How Eva runs the auth desk
01
Catch the order inside the EHR
Eva watches new orders as they're written, checks each against the payer's auth rules, and opens a case the same day - nothing waits for someone to notice it in a work queue.
02
Build and submit the same day
She pulls the chart notes, pairs the diagnosis and procedure codes, attaches the clinical criteria each payer wants to see, and submits - 92% of auths went in the day the order was written.
03
Chase every pending case
Eva works payer portals and phone trees daily, answers requests for additional documentation, and keeps each case moving instead of letting it age in a pending pile.
04
Close the loop in the chart
Approval numbers and validity windows land in the EHR the moment they're issued, and scheduling is flagged to book - so an approval never sits unnoticed in a portal.
The outcome
214 auths filed. 210 approved.
196
approved first pass
Clean submissions with the payer's criteria answered up front
14
approved on follow-up
Additional documentation pulled and resubmitted by Eva
4
escalated to peer-to-peer
Routed to physicians with the payer's criteria attached
The group's baseline denial-and-abandon rate meant roughly 30 procedures a month slipped off the calendar. In Eva's first month, none did for an auth-related reason.
The math
The value stack, first 30 days
Procedures kept on the calendar
$38K-$46K
~34 at-risk studies and procedures × $1.1K-1.35K net
Staff hours returned
$3.2K-$4K
~124 auth-desk hours at $26-32/hr loaded
Contract cost
$5,000/mo
For comparison
First 30 days
8.2-10× ROI
After month one
The queue never rebuilds
An auth desk that never falls behind - submitting the day the order is written, inside the EHR the group already runs.
Watch Eva do your clinic's work, live, in 30 minutes.
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