BotMeshPayer$4.2M saved
National Payer · Healthcare Payer
Automating Prior Auth: $4.2M Annual Savings
Built an AI-powered prior authorisation engine that processes 94% of requests automatically, cutting administrative overhead by over $4M annually.
Services Provided
BotMesh ArchitectureClaims Automation
The Challenge
The client was processing thousands of prior authorisation requests manually each day, leading to high labour costs, long turnaround times, and billing delays.
Our Solution
We deployed a BotMesh network that automatically routes requests, checks eligibility, validates against payer rules, and submits decisions — escalating only complex exceptions to high-end billers.
Results
94% of prior auth requests now processed automatically. $4.2M annual savings in labour costs. Average turnaround reduced from 48 hours to under 2 hours.
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