Electronic prior authorization rewired

Electronic prior authorization (ePA) was supposed to streamline access to care. But for many organizations, it hasn’t delivered on that promise. Care teams still find themselves waiting, not on clinical decisions, but on systems that can’t move the right data at the right time.

That’s because many early ePA tools simply digitized paper workflows without fixing the underlying data movement issues. They digitized the forms, but not the clinical context or real-time data exchange needed to actually speed up decisions, so the friction remained.

At this year’s ViVE event, Infor™ will share how healthcare leaders are finally fixing prior authorization by addressing the real root cause: broken data flow.

The real problem: Bottlenecks hidden in the process

While payer rules and layers of clinical criteria certainly contribute to delays, a surprising amount of delay stems from something simpler: the systems involved in authorization often can’t exchange the necessary data at the moment it's needed.

Care teams today are navigating:

• Fragmented electronic medical records (EMRs) and payer platforms
• Missing or incomplete clinical context
• Manual workarounds layered on top of digital workflows
• Denials triggered by mismatched or stale data

The result is a process that’s technically digital, but still operationally analog. Prior authorization doesn’t fail because teams aren’t working hard enough, it fails when systems can’t work together.

Data flow is the breakthrough

The real shift in ePA doesn’t come from a new portal or another mandate. It comes from solving the core problem: when data flows cleanly, authorizations move faster and with far less administration.

Infor Cloverleaf™ serves as the interoperability fabric connecting clinical systems, payer platforms, and authorization workflows. Using Health Level Seven (HL7®) Fast Healthcare Interoperability Resources (FHIR®)-based, real-time exchange, Infor Cloverleaf eliminates the silent bottlenecks that slow decisions and increase administrative burden.

Organizations taking a data-first approach are seeing fewer manual steps, more complete submissions, fewer avoidable denials, and workflows that finally keep pace with clinical demand. When the data foundation is strong, downstream automation works as intended. Care teams get clearer visibility into delays and denial patterns. Operations stabilize rather than react to daily surprises without disrupting core systems.

Join us at ViVE 2026

During ViVE 2026, Infor will showcase how healthcare organizations are:

• Stabilizing ePA workflows today
• Preparing for new regulatory pressures
• Building interoperability first roadmaps that scale
• Improving decision speed without adding operational burden

With the right data foundation, organizations don’t just digitize prior authorization, they restore clarity, predictability, and confidence across the entire process.

Streamlined data. Faster decisions. Better care. Powered by Infor Cloverleaf ePA.