The client’s existing process for pre-authorisation of treatment was a manual, multi-step process. The admin team would request specific information to pass over to an independent expert panel. Decision rules were in place, however there was a heavy reliance on manual checking.
With referral volumes increasing, customers were experiencing delays in decisions and the existing processes required additional resources to support increasing workloads.
psKINETIC utilised Appian to deploy a digital workflow and case management solution.
The solution delivered key features to transform the business process:
The solution was live within 3 months with the following benefits: