Innovaccer Unveils Flow Auth to Transform Prior Authorization with AI

Innovaccer Inc., a healthcare AI company, has introduced Flow Auth, a comprehensive AI-powered prior authorization solution designed to revolutionize one of healthcare's most burdensome administrative processes. As part of the company's revenue cycle performance platform, Flow by Innovaccer, the new solution aims to automate the entire prior authorization workflow from end to end, helping healthcare organizations accelerate care delivery while optimizing revenue capture.

The launch addresses a critical pain point in healthcare administration. According to a 2024 American Medical Association survey, 94% of physicians believe prior authorization delays patient care, with 27% reporting that requests are often or always denied. The same survey found that 89% of physicians link the process to increased clinician burnout, highlighting the urgent need for technological intervention in this space.

Flow Auth tackles these challenges through comprehensive automation designed to reduce delays, lower denial rates, and significantly ease the administrative burden on clinical teams. By ensuring submissions meet requirements on the first attempt, the solution aims to accelerate approvals while minimizing manual work. Innovaccer projects that healthcare organizations implementing Flow Auth could experience a 50% reduction in the time clinicians spend on prior authorizations, alongside a twofold increase in staff productivity.

The platform incorporates several sophisticated features engineered to streamline the authorization process. Its proactive PA detection capability automatically identifies when prior authorization is required for an order based on payer-specific criteria within the electronic health record. The system then creates payer-ready packets by automatically gathering relevant clinical documentation, including notes, labs, and imaging results. It flags any missing items and organizes all materials in the exact format required by payers.

Flow Auth offers full-spectrum submission capabilities, sending packets through all available payer connectivity options, whether APIs, portals, or traditional fax systems. The solution provides real-time tracking, monitoring authorization status and delivering updates directly within the clinical workflow, ensuring transparency throughout the process.

Perhaps most notably, the platform includes automated appeals drafting functionality. When requests are denied, Flow Auth can streamline the appeals process by drafting letters that leverage historical outcomes and payer-specific policies to auto-fill necessary clinical details. This feature addresses one of the most time-consuming aspects of the prior authorization process, potentially saving clinical staff hours of administrative work per appeal.

The introduction of Flow Auth represents a significant advancement in healthcare technology's approach to administrative burden. By applying artificial intelligence to one of healthcare's most persistent operational challenges, Innovaccer is positioning itself at the forefront of efforts to return time to clinicians while improving patient access to care. As healthcare organizations continue to struggle with staffing shortages and physician burnout, solutions like Flow Auth that promise substantial productivity gains while reducing administrative friction are likely to see rapid adoption across the industry.

Click here for the original news story.