Samadhan Mishra · AI Product Consulting

AI-Led Pre-Authorisation Automation for Insurance Workflows

Case study: reducing pre-authorisation turnaround and operational load through workflow redesign, rules, and AI-assisted decision support in health insurance operations.

Context

A large health insurance TPA processed high volumes of pre-authorization requests across hospitals, insurers, and internal clinical teams. Turnaround time and manual touchpoints affected provider experience and operational cost.

Business problem

Pre-auth queues grew with network expansion. Teams relied on fragmented rules, manual document review, and inconsistent prioritization—creating delays on both fresh and discharge cases.

User or operational pain

Operations leaders faced rising AHT, insurer concurrence delays, and limited visibility into bottlenecks. Hospital partners escalated slow responses; internal teams burned capacity on repeatable checks.

Product intervention

Product-led workflow modernization: rule sequencing, auto-allocation, concurrence automation, productivity instrumentation, and AI-assisted document understanding layered on existing systems of record.

AI capability used

Document classification, OCR and extraction, clinical and billing signal summarization, decision-support recommendations, and governed automation with human approval gates.

Samadhan's role

Samadhan led product strategy and execution as AI Product Leader: workflow mapping with operations, PRD and success metrics, pilot design, stakeholder alignment with clinical and insurer teams, and rollout governance.

Business outcome

Measurable improvements in pre-auth AHT, fresh and discharge TAT, and team productivity—with clearer escalation paths and audit-friendly decision trails.

Lessons for other companies

Start with workflow truth, not model demos. Automate the repeatable middle; keep humans on exceptions. Instrument every stage before scaling AI.

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Related service: Healthcare AI Product Consulting · Insights

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