Authorization requests are aging without a clear owner
Start by identifying the current owner, expected destination and the handoff that should happen next.
Authorization workflow
Prior Authorization Workflow Help
Organize authorization work around ownership, status, missing information, handoffs and escalation.
Common problems
Where teams usually get stuck
Scheduling and authorization teams are waiting on each other
Start by identifying the current owner, expected destination and the handoff that should happen next.
Status is visible but the next action is unclear
Start by identifying the current owner, expected destination and the handoff that should happen next.
Denials or exceptions are handled inconsistently
Start by identifying the current owner, expected destination and the handoff that should happen next.
Free starter check
What to clarify first
- Identify who initiates authorization
- Identify the queue or team that owns follow-up
- Separate missing information from payer response delays
- Define who handles denials and exceptions
Escalate internally when the issue involves
- Payer policy interpretation
- Patient-specific medical necessity decisions
- System configuration or interface failures
- Protected account or security changes