Delfino AI

Delfino AI tackled the administrative burden of prior authorization calls that healthcare provider offices make daily to insurance companies. Administrative staff spent hours on hold, navigating phone trees, and repeating patient information to verify coverage and obtain approvals before procedures could proceed. This problem hit hardest in mid-sized practices and hospital networks where staff handled hundreds of these calls weekly but lacked resources to hire dedicated authorization specialists. The inefficiency was measurable: practices tracked call volumes, average handle times, and authorization delays that directly impacted revenue cycles and patient care timelines. Existing alternatives were limited and unsatisfying. Providers either absorbed the labor costs with existing staff, hired expensive medical coders, or used basic workflow software that merely organized calls rather than eliminating them. Some larger health systems built custom solutions, but this remained inaccessible to smaller organizations. Early validation came quickly when pilot practices reported 60-70% reduction in call volume and faster authorization turnaround. Insurance companies themselves began recognizing the efficiency gains, signaling that automating these interactions benefited the entire ecosystem rather than just providers.