AI Agent
Prior Authorization AI Agent
Get authorizations in hours instead of days
Manual prior auth takes 3+ days and delays patient care. AI completes authorizations in hours with 75% approval rate improvement.
Benefits
Stop Losing Patients to Prior Auth Delays
Manual prior authorization takes 3+ days per request delaying patient care and causing appointment cancellations. Incomplete submissions create denials requiring rework. Staff can't track status across multiple payers. This agent completes authorizations in hours with higher approval rates.
75%
Faster approvals
Same-day
Request submission
40%
Denial reduction
Agentic Flows
Complete Prior Auth Automation
Automated workflow: payer requirement determination by CPT code, clinical documentation collection and validation, electronic request submission to payers, status tracking with automated follow-up, denial management with appeals, authorization integration to scheduling and billing.
How it works
Intelligent Prior Authorization Management
The agent determines authorization requirements by payer and procedure automatically, gathers clinical documentation and submits complete requests electronically, tracks authorization status with proactive follow-up and escalation, handles denials with peer-to-peer coordination and appeals.
Integrations
Works with Healthcare Systems
Direct integration with Epic, Cerner, athenahealth EHRs for orders and documentation. Connects to CoverMyMeds, Surescripts, and payer portals for authorization submission. Real-time eligibility verification via Change Healthcare and Availity.
Implementation
Authorizing Faster in 2 Weeks
Connect your EHR, scheduling, and payer systems. Configure authorization rules by payer and procedure. Most practices get same-day authorizations within 14 days of deployment.
Key Features
Prior Auth Features
Auto Requirement Detection
Determines if prior auth is required automatically. Checks payer policies by procedure and diagnosis.
Complete Submissions
Gathers all required clinical documentation. Submits complete requests that maximize approval rate.
Proactive Status Tracking
Tracks authorization status with payers. Follows up automatically and escalates delays before appointments.
Demo
See Prior Authorization in Action
Watch the agent process 50 prior auth requests: determine requirements, gather documentation, submit electronically, track status, obtain 48 approvals—all in 4 hours.
