AI-powered pre-authorization review for AMAN.
AMAN is using SaaSPro to review pre-authorization requests faster, compare AI recommendations with medical team decisions, and maintain an audit trail across payer operations.
The Challenge
Pre-authorization review is one of the most time-sensitive workflows inside an HMO. Every request has to be checked against the member's plan, diagnosis, benefit limits, requested services, exclusions, and medical context. As request volume grows, manual review becomes slower, harder to audit, and more difficult to keep consistent across reviewers.
The Solution
SaaSPro connects to AMAN's pre-authorization workflow through secure webhook events. When a provider submits a request, the AI reviews each line item, checks the available policy and plan context, generates an advisory recommendation, and keeps a clear reason for every decision. AMAN's medical team still makes the final call while seeing the AI view side by side.
The Result
AMAN now has a faster first review layer for live pre-authorizations. SaaSPro has processed over 10,000 PA requests, representing more than ₦1 billion in request value, with AI advisory review happening in about 15 seconds. The workflow gives AMAN stronger visibility into decision quality, reviewer alignment, turnaround time, and rule gaps that need tuning.