U.S. medical prior authorization by channel
How the 2024 CAQH Index divides medical prior authorization among manual, partial and fully electronic channels.
- Fully electronic35%
- Portal or IVR43%
- Fully manual22%
| Processing mode | Share in the reported adoption mix |
|---|---|
| Fully electronic (ASC X12N 278) | 35% |
| Partially electronic (web portal or IVR) | 43% |
| Fully manual (phone, mail, fax or email) | 22% |
Key findings
- Partially electronic channels were the largest group at 43%. Fully electronic adoption was 35%.
- The manual share was 22% in the 2024 edition, compared with 37% in the 2023 edition of the same series.
- The manual category combines four channels. The report does not isolate fax within this breakdown.
Methodology
The figures reproduce the adoption percentages in the report’s medical prior authorization chart. They use the report’s transaction-mode definitions. The national volume estimates shown separately in the report are a different series.
Coverage
2024 Index edition. Medical prior authorization. Referrals and dental transactions fall outside this chart.
Data source
CAQH Index2024 CAQH Index · page 19 · Medical Plan Adoption of Prior Authorization
Chart by Fax · Reviewed
Related charts
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