How Karova Slashes Time, Cost, and Complexity from the PA Workflow
How AI-Powered Prior Authorization Improves Efficiency
According to American Medical Association, prior authorization delays patient care by several days in many cases.
| Step | Process | Average Time |
| Identify PA Requirement | Manual lookup or after pharmacy rejection | 1–2 days |
| Gather Clinical Documentation | Nurse or coordinator pulls chart notes, labs, previous meds | 2–4 hours |
| Complete PA Form | Manually enter data into payer-specific forms | 1–2 hours |
| Submit PA | Fax, phone, or log into payer portal | 30 minutes–1 hour |
| Await Response | Often requires follow-up calls, appeals | 3–7 days or more |
- Total Time to Process One PA: 3–10 business days, often longer for specialty drugs
- Staff Burden: 1–2 hours of admin time per PA
- Patient Impact: Medication access delayed; treatment postponed
Karova Health Timeline with AI
| Step | Process | Time |
| Upload or Drop Patient Record | Drag-and-drop interface accepts PDFs, CCDs, or EHR exports | Instant |
| AI Analyzes & Extracts Data | Diagnoses, step therapy history, labs, provider info auto-extracted | < 60 seconds |
| Form Auto-Population | Pre-filled PA form based on payer requirements | Instant |
| Submission to Payer | Through integrated APIs or payer portals | < 5 minutes |
| Real-Time Status Tracking | Dashboard alerts, no need for follow-up calls | Ongoing |
- Total Time to Process One PA: Under 10 minutes
- Staff Burden: Near-zero manual effort
- Patient Impact: Same-day PA submission = faster access to medication
Time Savings Snapshot
| Metric | Traditional PA | With Karova |
| Time to Submit | 3–5 days | <10 minutes |
| Admin Time Required | 60–120 minutes | <5 minutes |
| Error Risk | High | Minimal (AI-validated) |
| Denial Risk | High (missing info) | Reduced (pre-validation engine) |
Why It Matters
While automation offers significant improvements, understanding the underlying challenges is crucial. Explore the comprehensive analysis of the administrative and financial burdens associated with manual prior authorizations in our article, The Hidden Cost of Prior Auths for Providers. Karova doesn’t just speed up the PA process—it redefines it. By embedding intelligence at every step, we:
- Free up staff to focus on patient care
- Reduce costs tied to rework and delays
- Eliminate uncertainty and burnout from the workflow
Ready to reduce your prior auth burden?
Discover how Karova’s AI-powered processing for providers can streamline your process and save your team hours each week.
Request a demo or learn more about our solutions.
