Pilots in flight

Three early pilots. Real numbers.

Authora pilots run for 90 days under BAA. The numbers below are pulled from production telemetry, anonymized by customer agreement. All three pilots are continuing into year-one contracts.

Mid-Atlantic regional Blue plan · 1.4M members

Commercial payerMid-Atlantic1.4M members

73%

Auto-approval on the first seven categories

26s

P50 latency

91%

Reviewer agreement

−54%

Appeal-overturn rate

Walked into 2026 with $4.3M of annual UM operating spend and CMS-0057-F public-reporting deadlines they could not credibly hit on the legacy stack. Authora pilot ran 12,400 cases across MSK surgical, imaging, oncology drug, behavioral health, and DME from May–July 2026. P50 turnaround time dropped from 11.2 days to 26 seconds. Six of the seven pilot categories now run unattended for the auto-approve track.

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20-hospital integrated system in the Southeast · 460-physician medical group

ProviderSoutheast20 hospitals · 460 MDs

38%

Reduction in physician in-basket PA messages

4.6 hrs/wk

Time saved per MD

61%

Same-day decisions

−72%

Peer-to-peer load

The system's CMO ran the math: 460 physicians × 13 hours per week on PA × $280/hour internal loaded cost = $87M of physician time spent on PA per year. Authora deployed inside Epic via SMART-on-FHIR + CDS Hooks, with the PA workflow living in the EHR. Physicians sign the order, Authora pre-flights, the request goes out. Peer-to-peer load dropped 72% because gaps surface at order time, not after a denial.

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350-physician multi-specialty IPA · West Coast · Delegated UM for two MA plans

IPA, delegated UMWest Coast350 MDs · 240K lives

$4.40

Cost per approved auth — full-cost basis

64%

Gold-card coverage

100%

CMS-0057-F fields

Yes

NCQA UM file-ready

Took delegated UM from two regional Medicare Advantage plans in 2024. By Q3 2025 the manual UM operation cost them $1.74M/year and was a recurring NCQA audit-finding source. Authora pilot replaced the manual workflow with a delegated agentic pipeline + parallel reviewer console; the operation now runs at $4.40 per approved auth, fully loaded, with NCQA UM audit files generated automatically every quarter.

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The common thread

What the pilots have in common.

Across all three pilots, the same pattern: the customer’s appeals overturn rate — the share of denied PAs that get reversed on appeal — drops sharply within the first 30 days. The reason is structural. Authora surfaces documentation gaps at order time, before the request leaves the building. Cases that would have been denied for missing evidence get the missing evidence attached first. The denials that do go out are the ones that actually deserve to. That is the only durable answer to the KFF data on overturn rates.

Reference panel

All three pilot customers take reference calls under NDA.

Procurement, clinical, and security leaders at the customer organizations are available to speak with peers in the industry on a one-to-one basis.

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