Client Result

From delays to 90% Faster Outcomes With AI

Reducing operational strain by introducing AI into claims and prior authorization workflows

healthcare worker using tablet

Immediate impact through AI automation

A leading Midwest health plan turned to West Monroe to explore how AI could relieve pressure from outdated, manual processes. Manual claims authorizations were causing delays, resource strain, and costly backlogs during a platform migration. Together, we introduced AI-driven automation that streamlined claims intake and prior authorizations. In just three months, we cleared 90% of the claims backlog, reduced errors by 60%, and saved $500,000 annually. AI now enables faster, more accurate routing, allowing teams to focus on exceptions—not every claim. Today, the organization operates with a scalable, intelligent system ready for future growth.

  • Cost Reduction.svg
    $500,000+

    annual cost reduction through process automation

  • Realize Faster Results_.svg
    90%

    reduction in claims backlog over three months, driving faster results

  • Organization Efficiency_.svg
    60%

    fewer authorization load errors per week, creating new efficiencies

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