Processes
Manage preauthorizations
How manage preauthorizations are reshaped as AGI capability advances.
ProcessesManage preauthorizations
Business-as-Code
Read as an executable program — the work decomposed into Code, Generative, Agentic, and Human.
Manage preauthorizations sits inside a larger value-flow — 1 parent structure it composes into. The hierarchy is grounding, not the story: it tells you which aggregate exposure Manage preauthorizations inherits.
Where Manage preauthorizations sits
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How the work flows
Trigger: A submitter initiates a request for authorization prior to performing a service, executing a repair, or processing a transaction.
- Receive preauthorization request and associated evidence
- Verify eligibility, coverage limits, and policy active status
- Review request against business rules, warranty terms, or necessity guidelines
- Request and process additional documentation if needed
- Determine approval, modification, or denial of the request
- Issue authorization code and notify the submitter
- Update the core system with the preauthorization status
Outcome: The request is adjudicated, and an approval code or denial decision is recorded and communicated to the submitter.
Measured by
Preauthorization Turnaround TimeAuto-Adjudication RatePreauthorization Denial RateCost Per Request