5–25 specialists · $500K–$3M revenue

Stop Paying Specialists to Sit on Hold

Prior authorization teams spend 60% of their day on hold with insurance companies. Your specialists should be solving complex cases — not waiting on hold music. AI agents handle portal submissions, status checks, and documentation so your team processes 3x the volume with the same headcount.

Start 30-Day Submission Pilot

Typical ROI — Prior Auth Service Provider

Specialist team cost before

$275,000/yr

5 specialists + benefits

OnlyBoring Professional

$100,000/yr

6 agents + $10K setup

Net annual savings

~$175,000

Plus: Faster approvals, lower denial rates, happier providers

Sound familiar?

"I spend my whole day on hold. By the time I get through, I've forgotten what I was calling about. It's soul-crushing work."

Phone Call Burden

3–5 hours daily on hold per specialist

"We can't keep up with the volume. Too many auths expire before we even submit them, and then providers get angry at us."

Volume & Deadlines

24–72 hour submission windows per auth

"Denials are killing our revenue. One missing document and the whole thing gets denied. Then we start over."

Denials & Rework

One error = denial = lost procedure revenue

Workflows we automate for prior auth teams

Six workflow automations covering the full prior authorization lifecycle.

Authorization Submission & Documentation

AI extracts patient and procedure data from referrals, auto-verifies eligibility, gathers and organises clinical documents, completes payer-specific forms with accurate coding, and submits through the correct portal.

45–90 min per auth

15–20 min per auth

Insurance Follow-Up & Status Checking

AI checks portal status automatically — no hold times. Aggregates updates across all payers, flags auths approaching deadlines, updates the tracking system, and alerts providers to status changes.

15–30 min per status check

2–3 min per status check

Approval Tracking & Provider Notification

AI monitors portals and fax 24/7, automatically downloads and verifies approval details (dates, codes, units), notifies the provider via preferred method, and files documentation automatically.

10–20 min per approval

2–3 min per approval

Appeals Processing

AI reviews denial reasons, gathers additional clinical evidence, drafts appeal letters using payer-specific language, submits with full documentation, and tracks appeal status to resolution.

Manual, inconsistent

Structured, deadline-tracked

Eligibility Verification

Verifies patient benefits, checks auth requirements per payer, documents coverage details, identifies prior auth needs, and communicates to scheduling staff before the patient arrives.

5–10 min per patient

30 seconds per patient

Provider Status Reporting

Daily status reports to providers, exception reporting for urgent or denied auths, monthly analytics on throughput and denial rates, and Q&A support on payer-specific requirements.

Manual daily reports

Automated, real-time

How prior auth teams scale with OnlyBoring

Month 1–2

Submission Pilot

Validate AI on your top 5–10 payer portals. Measure time savings and approval rates.

2–3 agents

Month 3–6

Core Operations

Add status checking, appeals processing, eligibility verification.

4–5 agents

Month 6–12

Full Operations

Advanced analytics, predictive denial prevention, multi-specialty expansion.

6–8 agents

Year 2+

Scale Mode

Unlimited capacity as client volume grows. Machine learning on denial patterns.

Unlimited

Common concerns, answered

"Prior auth is too complex for AI."

Prior auth seems complex because of all the manual steps, but it's actually highly structured and rule-based — every payer has specific requirements. AI is perfect at following rigid protocols consistently. Your specialists handle the exceptions; AI handles the routine. One client processes auths for 47 different payers through their AI agents.

"What about HIPAA compliance?"

We take HIPAA compliance seriously. Our AI agents operate in a secure, encrypted environment with full audit trails. We sign BAAs with all clients, maintain strict access controls, and are SOC 2 Type II certified with annual third-party security audits.

"Insurance companies require human callers."

Most payers actually prefer portal submissions — which our AI handles seamlessly. For the few that still require phone calls, AI prepares all the information so your specialists spend 5 minutes on the phone instead of 45 minutes on hold. Clients see 70–80% of auths submitted via portal and only 20–30% requiring calls.

"We have unique payer relationships."

Every client has unique payer mixes — that's why our AI agents are trained specifically on your payers and processes. We have clients with highly specialised payer relationships including workers' comp and auto liability. AI learns your specific processes and maintains those relationships perfectly.