MH
Meridian Health
Healthcare · Payer

A regional health plan moves from 6-day to 14-minute median prior-auth turnaround with a multi-agent reference architecture.

14 min
Median turnaround on in-policy cases (from 6 days)
78%
Straight-through processing rate
↓ 41%
Provider call volume on PA status
The challenge

Meridian was processing 18,000 prior-auth cases per week with a 6-day median turnaround.

The solution

A multi-agent prior-auth pipeline on the Agent Platform: intake normalizes requests, a clinical-evidence agent extracts EHR/PDF context, a policy-reasoning agent applies medical necessity with citations, and a decision agent issues approve/deny/pend with a clinician-reviewable rationale.

"We hit the 48-hour bar in week one and never went back. Clinicians spend their time on cases that actually need judgment."

Dr. Elena Park, Chief Medical Officer, Meridian Health
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