Customer Story

Precision & Efficiency only AI could provide.

How Horizon Vascular used Aira to save 15+ hours per week and reduce first-pass authorization denials by 65%.

Read the study

Horizon Vascular faced an administrative bottleneck: staff spent up to 2 hours per patient navigating EHR notes and managing prior authorizations, yet still experienced a 40% first-pass denial rate. By implementing Aira, they transformed their workflow and achieved measurable results in under 30 days.


The Challenge

Prior to implementing Aira, Horizon Vascular's administrative team managed a labor-intensive manual authorization process. Staff members spent between 1 to 2 hours per patient navigating EHR notes, identifying relevant clinical data, submitting and tracking prior authorizations.

Despite this significant time investment, the practice experienced a 40% first-pass denial rate. The high volume of initial denials created a cycle of re-work and follow-ups, leading to delays in patient care and a compounding administrative bottleneck.

Time-Intensive Process

1-2 hours spent per patient navigating EHR notes and identifying relevant clinical data for authorizations.

High Denial Rate

40% first-pass denial rate created a cycle of re-work, follow-ups, and compounding administrative burden.

Care Delays

Administrative bottlenecks led to delays in patient care and missed revenue opportunities.

The Solution

Horizon Vascular deployed Aira to transition from a manual, high-friction workflow to a precision-automated system. The platform's AI ecosystem addressed every pain point in their authorization process.

  • Clinical Data Ingestion Aira integrates directly into the EHR to retrieve all patient data and orders, eliminating the need for staff to manually hunt for documentation.
  • AI-Powered Medical Necessity Check Proprietary AI-OCR technology scans all patient documentation, comparing it against complex payer guidelines to ensure perfect alignment with medical necessity requirements.
  • Active Benefit Checks Automatic verification of insurance benefits and authorization requirements, preventing unnecessary labor on exempt cases.
  • Consolidated System of Record A single source of truth for all orders, tracking status changes and submissions in one central, real-time location.

The "Aha!" Moment

The impact of Aira's precision was highlighted by two specific patient cases that were previously denied by payers. Upon resubmission through Aira—utilizing a precise documentation packet and a Letter of Medical Necessity that mapped clinical evidence directly to specific payer criteria—both cases received instant approval. This proved that Aira could bridge the gap between clinical reality and payer requirements.

The Impact

The transition to Aira resulted in a more accurate, streamlined process that drastically reduced the time required to manage authorizations while significantly increasing approval rates. In less than 30 days, the results were definitive:

Metric
Pre-Aira → With Aira
First-Pass Denial Rate
40% → 14% (65% Reduction)
Time per Authorization
60-120 min → 3 min (~97% Reduction)
Weekly Time Reclaimed
15+ Hours Saved
Client Voice
"Aira's prior authorization packet is amazing, it breaks down the payer guidelines to help make the authorization process easier and to get more approvals."
Melissa Dove
Surgical Coordinator, Horizon Vascular
"The Aira team made this transition to AI seamless. They started with an easy trial period and moved right into the practice without any issues. The time savings were visible from the very first few days."
Dr. Richard Silva
Practice Owner, Horizon Vascular

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