nVizion – Prior-Authorization

Operational & Strategic Outcomes

About the Customer

One of the largest member-owned health insurers in North America. They serve 30 million members across a vast national network that includes hundreds of thousands of providers and more than 10,000 hospitals.

Our client faced a massive operational burden: nearly 300,000 prior-authorization faxes per month, almost 70 million pages annually. These documents required validation, indexing, and routing into various ECM systems. Before Lateetud, this work was outsourced to a third party at a cost of approximately $1.80 per document plus $0.008 per page, resulting in over $7M cost annually.

Risks of maintaining the status quo:

• Escalating costs as fax volumes continue to grow
• Operational bottlenecks due to manual processing, slowing down prior-authorization approvals
• Error risk from human data entry, impacting compliance and member experience
• Limited scalability — manual processes cannot keep pace with rising healthcare demands
• Employee strain — repetitive, low-value tasks reduce morale and productivity

Our client adopted our Intelligent Document Processing (IDP) platform nVizion, to automate fax ingestion, validation, and routing. nVizion leverages machine learning and document intelligence to extract, classify, and index data directly into ECM systems.

Faxes are digitized and automatically read by nVizion, key data fields are validated against business rules, documents are indexed and routed to the correct ECM system without human any intervention. The system continuously learns, improving accuracy and throughput over time.

Benefits of deployment:

Cost reduction: Significant savings by reducing reliance on third party.

Efficiency gains: Faster throughput, reducing turnaround times for prior-authorization requests.

Scalability: Ability to handle millions of pages without proportional increases in cost.

Accuracy: Reduced manual errors, improving compliance and member satisfaction.

Future-proofing: Self-learning capabilities ensure performance improves year over year.

The shift from a manual, chaotic process to a centralized, automated platform has had a profound impact on our health system.