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Case StudyPrior Authorization

Prior Authorization Turnaround Improvement

60–80%
faster authorization turnaround
30 days
to full activation and measurable results
100%
achievement of the client’s stated goal
At a glance

A large orthopedic practice partnered with STATLINX to improve the speed and consistency of its prior authorization process. Requests were taking up to five business days, creating scheduling bottlenecks. By implementing targeted workflow enhancements, STATLINX reduced turnaround to one to two business days.

The challenge

A busy orthopedic practice was experiencing prior authorization processing delays, with turnaround times averaging approximately five business days. These delays impacted patient scheduling, slowed access to care, and created operational challenges for the practice.

Leadership recognized the need for a more responsive process that would allow them to better serve patients and remain competitive with neighboring providers. The Practice Manager approached STATLINX with a clear objective: reduce authorization turnaround times to no more than two business days while maintaining accuracy and quality.

The solution

STATLINX conducted a thorough review of existing workflows and operational processes to identify opportunities for improvement. Working collaboratively with the practice, we developed a focused plan designed to accelerate processing times without sacrificing service quality.

Key initiatives
Restructuring authorization workflows to eliminate inefficiencies
Enhancing communication and coordination between teams
Refining prioritization protocols so urgent requests received timely attention
Implementing operational improvements in a phased approach to ensure a seamless transition

The impact

A 60–80% reduction in authorization turnaround time within the first 30 days allowed the organization to schedule care more efficiently, improve patient access, and strengthen its competitive position within the market.

The engagement demonstrates how targeted workflow optimization can create lasting operational improvements while supporting exceptional patient experiences.

The outcome

Within one month, STATLINX achieved the client’s goal, reducing prior authorization turnaround times from almost five business days down to just one to two business days.

Additional outcomes
Consistent maintenance of the improved turnaround times throughout the partnership
Increased scheduling efficiency for the practice
Improved satisfaction among practice leadership and staff
Faster access to care for patients awaiting authorization approval
Turnaround went from nearly five business days to one or two — and stayed there for the life of the partnership.
Result summary