A large, multi-specialty medical group serving diverse communities across a multi-state region. The group provides comprehensive care across high-volume service lines, with a mission centered on expanding patient access, ensuring quality care delivery, and driving operational efficiency.
IKS Health began with a comprehensive operational assessment, redesigned the workflows from the ground up, and took end-to-end ownership of prior authorization. Scattered, multi-site effort became one centrally managed operation, with workflows, payer engagement, and escalations run by a single accountable team and operational governance that kept performance consistent. The group’s leaders were able to step back from managing it day to day.
A dedicated clinical team carried the authorization work, applying peer-to-peer review protocols and engaging payers early to head off denials. IKS Health built specialty-specific workflows for Radiology, Surgery, and OB/GYN, the high-volume, high-dollar service lines where authorization risk concentrates, cleared the existing backlog, and redirected internal capacity toward higher-value priorities including medication prior authorizations.
Through the client’s Epic migration, IKS Health also acted as a consultative partner and realigned work queues so operations never lost a step.
With IKS Health’s prior authorization solution, the group recovered millions in at-risk revenue, lowered its cost to operate, and gave clinical teams back the time that authorization work had been consuming.