DokChain Use Case

Prior Authorization & Referral

The prior authorization and referral process is one of the more costly, complex, and overwhelmingly manual transactions in the healthcare industry. In its current form, it adds several tens of dollars per transaction on payers. We believe that basic process improvements and automation can cut those costs in half; and that’s just the start. We are developing smart contract-based automation workflows that may reduce costs by an additional factor of five or ten.

DokChain can enable a completely automated pre-authorization process. In doing so, we can help payers remove inefficient manual processes, greatly reduce friction between payers and providers, and drive out costs. We can integrate payer-specific prior authorization connectivity that unites clinical information analysis, status checking, and authorization criteria data to render decisions electronically.

Read about our partnership with Intel Hyperledger Sawtooth.