FOR HEALTH SYSTEMS & LARGE PRACTICES

Prior authorization is costing your clinicians. And your bottom line.

Your clinicians spend 13 hours a week on prior authorization. Citeline Health handles the P2P call: the hold time, the phone trees, the insurance intake. So they stay in the exam room instead of on the phone.

All data cited below with sources.

THE FINANCIAL IMPACT

Prior auth is the most expensive phone call
your clinicians make.

95%

of clinicians say PA increases burnout

local_fire_department

95%

of clinicians say PA increases burnout

Prior auth is the single biggest administrative burden your clinicians face.¹

Bureaucratic tasks are the #1 cited cause of clinician burnout.² Prior authorization is the leading component. 39 PAs per clinician, per week. 13 hours spent on the process.¹

94%

of clinicians report PA delays care

schedule

94%

of clinicians report PA delays care

Your patients are waiting. 78% of clinicians say some give up entirely.¹

Prior auth leads patients to abandon treatment. Delayed care becomes deferred revenue. And worse outcomes.

$1M+

cost to replace a single clinician

person_off

$1M+

cost to replace a single clinician

Prior auth drives burnout. Burnout drives turnover.

Replacing one clinician costs your system $250K to $1M.³ The average health system loses $5M annually to turnover. Prior auth is a top contributor.¹

local_fire_department

95%

of clinicians say PA increases burnout

Prior auth is the single biggest administrative burden your clinicians face.¹

Bureaucratic tasks are the #1 cited cause of clinician burnout.² Prior authorization is the leading component. 39 PAs per clinician, per week. 13 hours spent on the process.¹

schedule

94%

of clinicians report PA delays care

Your patients are waiting. 78% of clinicians say some give up entirely.¹

Prior auth leads patients to abandon treatment. Delayed care becomes deferred revenue. And worse outcomes.

person_off

$1M+

cost to replace a single clinician

Prior auth drives burnout. Burnout drives turnover.

Replacing one clinician costs your system $250K to $1M.³ The average health system loses $5M annually to turnover. Prior auth is a top contributor.¹

What prior auth costs a clinical practice.

Prior authorization doesn't show up on a balance sheet. It shows up in lost clinical hours, delayed patient access, and clinicians who leave because the administrative load broke them.

PER CLINICIAN50-CLINICIAN SYSTEM

scheduleClinician time lost to P2P calls

2+ hrs/week5,200 hrs/year

attach_moneyLost clinical revenue (at $300/hr)

$31,200/year$1.56M/year

peopleStaff time on PA coordination

12 hrs/week31,200 hrs/year

person_offPA-driven turnover cost (2% rate)

—$500K–$2M/year

Estimated annual cost ⁴$2M–$3.5M+

Citeline Health handles P2P prior auth calls
so your clinicians don't have to.

Dictate this:

PATIENT

person

Patient Name

calendar_today

Date of Birth

CLINICAL

show_chart

Diagnoses

description

Order Contested

history

Case History

INSURANCE

shield

Insurer

layers

Plan

credit_card

Member ID

phone

Insurer Phone

micstophourglass_emptycheck

medication

MEDICATION

STRATEGY ATTACHED

John SmithBlue Cross Blue Shield

Jardiance 25mg dailyPPO Select

Type 2 diabetes with CKD stage 3

edit

phone

On hold

14:32

John Smith — Blue Cross Blue Shield

psychologyStrategy

folderPatient

shieldInsurance

psychologyGetting Jardiance approved with BCBS

BCBS

56 wins

KEY INSIGHT

Emphasize renal benefit (eGFR preservation) and prior metformin failure at max dose

FULL STRATEGY

Lead with the CKD indication: eGFR 45, declining trend. Reference CREDENCE and DAPA-CKD trials showing renal benefit of SGLT2 inhibitors. Document 3+ months of metformin at max tolerated dose with A1c still above target. Cite ADA Standards of Care 2024, Section 11 (CKD management).

volume_off

Speaker

phone_callback

Intervene

call_end

End Call

psychologyGetting Jardiance approved with BCBS

BCBS

56 wins

KEY INSIGHT

Emphasize renal benefit (eGFR preservation) and prior metformin failure at max dose

FULL STRATEGY

Lead with the CKD indication: eGFR 45, declining trend. Reference CREDENCE and DAPA-CKD trials showing renal benefit of SGLT2 inhibitors.

medication

Jardiance for CKD

BlueCross BlueShield

check_circle56

content_cut

procedure

Total Knee Replacement

Aetna

check_circle31

photo_camera

imaging

MRI Lumbar Spine

UnitedHealth

check_circle42

science

lab

CYP2D6 gene panel

Cigna

check_circle18

medication

Humira step therapy

Aetna

check_circle87

content_cut

procedure

Mohs surgery

Anthem

check_circle33

medication

Ozempic for T2DM

Cigna

check_circle24

HOW CITELINE WORKS

Clinician dictates the case

Your clinician dictates patient details, diagnosis, relevant clinical history, and insurance information. Our AI extracts the clinical context automatically.

AI organizes the case

Citeline Health structures the dictation into a case card with patient identifiers, diagnosis, insurance details, and attached clinical strategy.

We handle the wait.

Citeline Health places the outbound call, navigates the phone tree, answers the insurance intake questions, and holds the line so your clinician doesn't have to.

Clinician joins when it matters

The moment the medical reviewer picks up, Citeline Health connects your clinician to join for the 3-minute clinical discussion.

Every call empowers everyone

Call outcomes feed into the strategy library. When a clinician finds the argument that wins, it's available to your entire team before their next call. Anonymized. Aggregated. Continuously updated.

HOW CITELINE WORKS

Your clinician speaks. Citeline Health listens.

PATIENT

check

Patient Name

check

Date of Birth

CLINICAL

check

Diagnoses

check

Order Contested

check

Case History

INSURANCE

check

Insurer

check

Plan

radio_button_unchecked

Member ID

check

Insurer Phone

STEP 01

Dictate patient details, diagnosis, and insurance info. Citeline Health extracts the clinical context automatically.

medication

MEDICATION

STRATEGY ATTACHED

John SmithBlue Cross Blue Shield

Jardiance 25mg dailyPPO Select

Type 2 diabetes with CKD stage 3

STEP 02

Citeline Health structures the dictation into a complete case card with patient, clinical, and insurance details.

14:32

On hold with Blue Cross Blue Shield

phone_in_talkCiteline Health is handling this

STEP 03

Citeline Health places the call, navigates the phone tree, answers intake questions, and holds the line.

person

Medical Reviewer Connected

Dr. Sarah Chen, MD — BCBS Utilization Management

Join Call Now

STEP 04

The moment the medical reviewer picks up, Citeline Health sends a push notification.

medication

med

Jardiance for CKD

BCBS

check_circle56

content_cut

proc

Total Knee Replace...

Aetna

check_circle31

photo_camera

imaging

MRI Lumbar Spine

United

check_circle42

medication

med

Humira step therapy

Aetna

check_circle87

STEP 05

When a clinician finds the argument that wins, it's available to your entire team before their next call.

WHY HEALTH SYSTEMS CHOOSE CITELINE

Your system saves money.
Your clinicians save time.

Get clinical hours back across your system

Citeline Health returns 40+ minutes per P2P call to your clinicians. Across a 50-clinician system, that's thousands of clinical hours per year.

45+min recovered per call

No EHR integration required

Standalone mobile app. No IT project. Your clinicians download and start.

phone_iphone

HIPAA-compliant. No exceptions.

BAAs signed. Encrypted at rest and in transit. Full audit trail.

See what's working across every P2P call

Every call generates structured outcome data. See which payers deny most, which clinical arguments win, and where your clinicians spend the most time.

87%

72%

91%

69%

Keep your clinicians from leaving

95% of clinicians say PA increases burnout. Removing hold music, phone trees, and intake is a retention strategy that pays for itself.

person

The clinician stays in control

Citeline Health handles the logistics: hold, intake, navigation. The clinical conversation is yours. The medicine stays with the clinician.

support_agent

Citeline Health

person

Clinician

Get clinical hours back across your system

Citeline Health returns 40+ minutes per P2P call to your clinicians. Across a 50-clinician system, that's thousands of clinical hours per year.

45+min recovered per call

No EHR integration required

Standalone mobile app. No IT project.

HIPAA-compliant. No exceptions.

BAAs signed. Encrypted. Full audit trail.

See what's working across every P2P call

Every call generates structured outcome data. See which payers deny most, which clinical arguments win, and where your clinicians spend the most time.

Keep your clinicians from leaving

95% of clinicians say PA increases burnout. Removing hold music, phone trees, and intake is a retention strategy that pays for itself.

The clinician stays in control

Citeline Health handles the logistics: hold, intake, navigation. The clinical conversation is yours. The medicine stays with the clinician.

EARLY ACCESS FOR HEALTH SYSTEMS

Be first in line.

Citeline Health is onboarding a limited number of health systems for early access. Get on the list and the team will reach out to discuss how it fits into your system.

bolt

Early access when we launch

edit_note

Direct input into the product roadmap

priority_high

Priority onboarding for your system

First Name *

Last Name *

Work Email *

Title

Organization *

Number of Physicians

Anything else the team should know?

No commitment. No spam. The team will follow up personally.

Prior authorization is costing your clinicians. And your bottom line.

Prior auth is the most expensive phone callyour clinicians make.

What prior auth costs a clinical practice.

Citeline Health handles P2P prior auth callsso your clinicians don't have to.

Clinician dictates the case

AI organizes the case

We handle the wait.

Clinician joins when it matters

Every call empowers everyone

Your clinician speaks. Citeline Health listens.

Your system saves money.Your clinicians save time.

Get clinical hours back across your system

No EHR integration required

HIPAA-compliant. No exceptions.

See what's working across every P2P call

Keep your clinicians from leaving

The clinician stays in control

Get clinical hours back across your system

No EHR integration required

HIPAA-compliant. No exceptions.

See what's working across every P2P call

Keep your clinicians from leaving

The clinician stays in control

Be first in line.

Prior auth is the most expensive phone call
your clinicians make.

Citeline Health handles P2P prior auth calls
so your clinicians don't have to.

Your system saves money.
Your clinicians save time.