Build the Before/After AI Blueprint
Use a before/after service blueprint to locate the narrow AI intervention and its human review point.
Prior authorization takes nurses 22 minutes per request because evidence is scattered across notes, payer rules, and document folders. A service blueprint separates visible actions, backstage work, support systems, evidence, and handoffs so the AI intervention can be placed precisely. The common trap is to say 'AI handles prior auth' and skip the human review, missing-document path, and payer-specific evidence requirements. Before Nurse reads payer rule, searches chart, copies evidence, checks missing documents, writes request, submits, then handles rework if the packet is incomplete. After AI drafts a cited evidence packet and missing-document checklist; nurse verifies clinical fit and submits;…
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