PRIOR AUTHORIZATION AUTOMATION FOR HEALTH SYSTEMS

PreAuth AI — Faster, Safer Prior Authorization for Hospitals & Clinics

Reduce prior-authorization backlogs, avoid preventable denials, and free staff from repetitive data collection. PreAuth AI helps your team assemble complete, payer-ready prior auth packages in a fraction of the time.

  • AI-assisted intake that gathers payer-specific clinical details
  • Structured summaries your team can review and submit
  • Designed to plug into your existing RCM & authorization workflows
Conservative, review-first design. Your staff stays in control — PreAuth AI does the heavy lifting.
THE PRIOR AUTHORIZATION PROBLEM

Manual prior auth is slow, expensive, and frustrating for everyone.

Authorization teams spend hours collecting clinical details, tracking down documentation, and re-submitting cases that bounced for preventable reasons. Meanwhile, patients wait and providers get squeezed between payer rules and limited staffing.

  • High-cost staff stuck doing copy-paste and phone tag
  • Backlogs that delay care and frustrate providers
  • Denials caused by missing or inconsistent documentation
  • Limited line of sight into where each case stands
HOW PREAUTH AI HELPS

AI-assisted intake that builds payer-ready prior auth packages.

PreAuth AI doesn’t submit anything on its own. Instead, it works as an assistant to your team — collecting structured clinical details, organizing them by payer requirement, and surfacing flags your staff should review before submission.

  • Guided intake for orders, diagnoses, imaging, and previous treatment
  • Checklists tailored to your payers and service lines
  • Structured summaries ready to drop into existing portals or workflows
  • Audit-friendly documentation of what was gathered and when
Conservative, review-first design Built for RCM & auth teams
HOW PREAUTH AI FITS IN

Three Steps to a Smarter Prior Authorization Workflow

We design each deployment around your current process — not a blank-slate re-platform. PreAuth AI sits alongside your EHR, billing, and payer portals to remove friction without disrupting everything else.

Step 1
Map your existing workflow

We start by documenting how prior auth works today: where orders originate, what systems are involved, and where the bottlenecks show up.

Step 2
Configure AI-assisted intake & checklists

Together we define the payer-specific details your team needs. PreAuth AI then gathers those details in a consistent, structured way for each case.

Step 3
Pilot, measure, then expand

We launch with a focused pilot (service line, payer, or location), measure impact on turnaround, backlog, and denials, then expand where it makes sense.

WHAT A PREAUTH AI PILOT CAN TARGET

Operational outcomes that matter to RCM & finance.

Every organization is different, but most pilots focus on a small number of payers or high-volume service lines first. From there, we expand only where the data supports it.

30–50%
Reduction in manual prep time per case

Free up authorization specialists to focus on complex cases instead of re-keying data.

Fewer Denials
From missing or inconsistent documentation

Checklists and structured summaries help ensure the right details are present before submission.

Better Insight
Into backlog, status, and turnaround

Make it easier for leaders to see where things are stuck — and where automation is having the most impact.

These are planning targets, not guarantees. Exact results depend on your volumes, mix of payers, and how the pilot is scoped.

NEXT STEP

Talk with us about a PreAuth AI pilot for your organization.

Share a bit about your authorization volumes, staffing model, and pain points. We’ll review your current workflow and propose a conservative, measurable pilot that keeps your team firmly in the loop.

Prefer to talk now or pick a time?

You can reach us directly by phone or choose a time on our calendar. Either way, we’ll use the information from this page to focus on what matters most to your team.

For most organizations, the first conversation is 20–30 minutes and focused on understanding your existing process and goals.

PreAuth AI Inquiry Form

Fill out this short form to start the conversation. A specialist will follow up to discuss fit, pilot design, and next steps.

By submitting, you consent to be contacted about AI Triage Central and PreAuth AI. We do not share or sell your information.