Find Where Prior Authorizations Stall and What to Fix First
Request status lives in one place, payer turnaround in another, denial reasons somewhere else entirely. Trying to fix prior auth delays from three disconnected views is a large part of why they stay unfixed.
This tracker pulls all three into one place. Log requests by payer, watch turnaround against a deadline you set, and let delay and denial reasons sort into categories your team can actually act on. Payers get ranked by how much operational damage they're causing, worst first.
What's Inside This Tracker?
One workbook that turns request-level prior auth data into payer-level performance numbers, and a priority list of what to fix first.
1. Payer Information & SLA Reference
- Payer contacts, portals, peer-to-peer processes, and medical policy references all live in one place
- Set your own standard and expedited turnaround requirements, payer by payer
- Notes and operational quirks for each payer stay attached instead of living in someone's inbox
- Every tracked request pulls its deadline from this same reference, so calculations stay consistent
2. Prior Authorization Request Tracker
- Payer, service, requesting provider, request date, and urgency get logged per request
- Deadlines and turnaround days calculate on their own, using whatever standard you've set
- Approved, denied, and pending outcomes are tracked side by side
- Requests that miss the deadline, or are still open past it, get flagged automatically
3. Delay & Denial Root-Cause Diagnostics
- Recurring issues sort into six standardized reason categories instead of staying as free text
- Missing documentation, medical necessity, form errors, peer-to-peer, and payer-side delays each get their own category
- Every bottleneck category comes with a suggested workflow fix already attached
- What used to be scattered notes becomes a pattern your team can actually analyze
4. Payer Bottleneck Prioritization
- Request volume, average turnaround, deadline misses, and denial rates line up side by side, payer by payer
- Each payer's single biggest delay or denial reason gets called out
- Payers rank by how many requests they've caused to miss deadline, not just by volume
- Improvement effort goes where the turnaround damage is actually biggest
Created for Healthcare Leaders Responsible for Prior Authorization Performance
Built for the teams chasing authorization turnaround, payer follow-up, and denial prevention day to day, not just reviewing it after the fact.
