40% of nursing time lost to documentationCMS data 2024$262B in denied claims annuallyMGMA benchmarkAvg. prior auth: 16 manual touchpointsAHA report 2023Referral routing: 3.2 day avg. delayKLAS research40% of nursing time lost to documentationCMS data 2024$262B in denied claims annuallyMGMA benchmarkAvg. prior auth: 16 manual touchpointsAHA report 2023Referral routing: 3.2 day avg. delayKLAS research
Industry ReportSourced. Verified. Unavoidable.
CMS Operational Data, 2024
40%
of nursing time lost to non-clinical admin work
Operational Context
Four in ten nursing hours disappear into EHR documentation, scheduling, and manual handoffs. At $85/hr burdened cost, a 100-nurse floor loses $17M annually to work that doesn't touch a patient.
Documentation Burden
Chart
Code
Review
Sign
Submit
Manual2–4 hrs avg
Automated< 200ms
Claims Denial Cycle
Capture
Scrub
Submit
Deny
Rework
Rework cost ea.$118
Automate cost ea.$0.003
Operational Context
Total denied claim value processed annually in the US healthcare system. 65% of denials are never resubmitted. The ones that are cost $118 in rework labor each — before the payer even responds.
CAQH Index 2024
$262B
in denied claims processed annually. 65% never resubmitted.
AMA Prior Authorization Survey, 2023
16steps
manual touchpoints per prior authorization request
MGMA Operational Benchmarks, 2024
3.2days
avg. delay: referral to scheduled appointment
Compounding Effect
The average prior authorization request touches 16 manual steps across EHR, phone, fax, and portal. Each step is a failure point. Automate collapses this to a single structured API call.
Prior Auth Auto-Approval Rate73%
Referral Routing Automation89%
Clean Claim Rate Improvement67%
Workflow EngineThree workflows. Zero manual steps.
Live Sequence
Referral Routing
From PCP order to specialist confirmation — without a single phone call.
PCP creates referral order0ms
Insurance eligibility check180ms
Specialist network match42ms
Slot availability query95ms
Patient notification sent12ms
Confirmation recorded in EHR8ms
Manual
3.2 days
Automated
337ms
Time Saved
99.9%
Live Sequence
Prior Auth Cascade
Structured payer submission with real-time status tracking — no fax required.
Clinical criteria extracted0ms
Payer rule set matched210ms
Auth request submitted via API88ms
Payer response received4.2s
Decision recorded + physician notified15ms
Manual
4–11 days
Automated
< 5 seconds
Time Saved
99.7%
Live Sequence
Charge Capture
Every billable event captured, coded, and scrubbed before it leaves the floor.
Service event detected0ms
ICD-10 / CPT auto-assigned156ms
Payer-specific rule validation73ms
Modifier check applied44ms
Clean claim submitted22ms
Manual
2–4 hrs
Automated
295ms
Time Saved
99.8%
EHR Integration LayerNative. Bidirectional. Zero rip-and-replace.
Epic
MyChart & Interconnect
Certified +
38% US market
FHIR R4HL7 v2CDS HooksSMART on FHIR
Cerner
Oracle Health
Certified
26% US market
FHIR R4HL7 v2Millennium API
Meditech
Expanse Platform
Certified
18% US market
FHIR R4HL7 v2Expanse API
athenahealth
athenaClinicals
Certified
12% US market
REST APIFHIR R4HL7 v2
Integration Coverage
US Hospital Coverage94%
Ambulatory Clinics87%
Specialty Practices79%
Architecture
DeploymentOn-prem or cloud
Data residencyHIPAA-compliant
Avg. go-live14 days
Uptime SLA99.97%
Legacy system supportHL7 v2.x+
Take Action
Get Your Workflow Audit
A 45-minute structured review of your three highest-friction workflows, mapped against Automate's automation layer. No sales pitch — just your operational data, analyzed.
2024 Healthcare Operations Efficiency Report
48 pages · CMS, MGMA, AHA data
The full dataset behind every number on this page — plus three case studies from health systems that eliminated their authorization backlog in under 30 days.
What Happens After
01Workflow specialist reviews your EHR environment
02Preliminary findings brief delivered in 24 hrs
0345-min structured audit call — your data, your systems
04Automation map with ROI projection, no obligation
You've seen the data. Your facility is losing hours and revenue every day this runs manually.