Healthcare AI that tracks, prepares, submits, and chases prior authorizations automatically, so approvals stop bottlenecking care and your front office stops living on hold with payers. Patient intake handled too, without the hold music.
Explore the administrative steps behind prior authorization automation for medical practices.
Every practice manager knows the math: prior auth is hours of skilled staff time spent on payer websites and hold music, delaying care the provider already ordered. It’s repetitive, rule-based, deadline-driven, and automatable end-to-end.
Orders and scheduled procedures that need authorization get identified from your schedule automatically, with each payer’s current requirements attached, days before they become an urgent problem.
Forms pre-filled from chart data, documentation checked for completeness, submissions filed through payer portals, with a human review step exactly where your compliance needs it.
Pending auths get checked on each payer’s cadence; stalls, denials, and requests for more information route to your staff with full context, no more ‘I’ll check on that Friday.’
Scheduling, reminders, forms, and the 8am Monday queue, answered in parallel so patients stop hearing ‘your call is important to us.’
The most-hated job in a private practice, named and closed: from “order placed” to “authorization on file”, tracked, submitted, and chased without your staff on hold. Flat fee, live in about 30 days, month-to-month after.
Prior auth is where we start in healthcare, one piece of how an AI operations partner for service businesses runs the whole practice back office.
Prior authorization automation identifies orders requiring payer approval, pre-fills and submits authorization requests with the payer’s current requirements, checks status on each payer’s cadence, and escalates denials or information requests to staff with full context, reducing skilled front-office hours spent on portals and hold queues.
