With 15 hospitals in three states and almost four million patient visits per year, UCHealth needed to transform its processes for financial clearance and prior authorization in preparation for its next phase of growth. Manual, high-touch payer interactions, lack of payer authorization rules, and decentralized processes continued to negatively affect staff capacity, wasting up to 70% of staff time. This led to a near-constant need to hire more employees, higher-than-necessary delays in securing authorization and increased denials and write-offs.
With goals to automate 60% of their accounts, decrease denials by 30% and improve service times by securing authorizations faster, UCHealth chose Waystar for its uniquely comprehensive ability to meet every objective – all on a single platform that integrates seamlessly with their Epic EHR.
Increase in prior authorization speed
Kerre Valtierra, Senior Director of Operations for Patient Line, Ambulatory Referral and Authorization, UCHealth
Reduction in denials related to authorizations