PRIOR AUTHORIZATION AUTOMATION

PreAuth AI for Faster, Cleaner Authorization Workflows.

Reduce repetitive collection work, improve completeness, and make authorization status and exceptions easier for staff to see and act on.

WHY WORKFLOWS BREAK DOWN

Missing Details, Rework, and Poor Visibility Create Avoidable Delay.

01

Incomplete requests

Missing clinical details, payer requirements, or supporting documentation can stall authorization work.

02

Manual rework

Teams spend time chasing information, copying chart details, and rebuilding packets.

03

Status confusion

Staff need a clear view of what is waiting, submitted, approved, delayed, or needs attention.

HOW PREAUTH AI FITS

A Review-First Workflow With Human Control at the Decision Point.

1

Intake

Required clinical, procedural, and payer-specific details are collected into a structured case.

2

Completeness

Missing documents, fields, or inconsistencies are surfaced before staff review.

3

Review

Staff review, edit, and confirm the authorization package before submission.

4

Status

Pending, submitted, approved, delayed, and exception states remain visible.

RICHER WORKFLOW VISIBILITY

Show Staff What Needs Attention—Not Just That “AI Ran.”

Case stateWhat the system seesNext step
Ready for reviewAll expected inputs presentHuman review
Missing documentationClinical note attachment missingException
Payer follow-upAdditional information requestedAction needed

Illustrative synthetic workflow states. No patient data is used in this illustrative workflow.

OPERATIONAL VALUE

Reduce the Work That Slows Authorization Teams Down.

Less manual prep

Reduce repetitive collection, re-entry, and packet-assembly work.

Better completeness

Surface missing information before staff review and submission.

Clearer status

Make pending, submitted, approved, delayed, and exception work visible.

Measured pilot

Track prep time, completeness, denial reasons, and staff workload in a bounded pilot.

PILOT APPROACH

Start With One High-Volume Authorization Workflow.

1

Choose the workflow

Identify a repeatable authorization category with enough volume to measure.

2

Map requirements

Define payer, procedure, documentation, review, and escalation requirements.

3

Measure and expand

Evaluate workflow fit before extending automation to additional categories.

START A CONVERSATION

PreAuth AI Inquiry

Share the operational workflow and approximate volume. Do not include patient-identifying information or PHI.

Only provide a phone number if you would like us to contact you by phone or choose the optional SMS consent below.

Do not include patient information or PHI. This public form is for business inquiries only.

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PreAuth Is a Core Service Now.

We’ll map your current authorization process, identify the most repetitive work, and define a conservative first pilot with explicit human review.

Request PreAuth Assessment →