We are integration specialists

What’s Different About Our Intelligent Prior Authorization Automation AI

Real-time policy intelligence with AI-driven extraction, EHR integration & 80% faster approvals for seamless prior authorization.

  • Real time retrieval and analysis of the latest policies.

  • Saves 80% of time from insurance authorization.

  • Supports OCR, EHRs, EDI, and Data Warehouses.

  • Integration with deep clinical documentation.

  • Automated clinical bundling helps doctors find the right information.

  • AI help automate insurance authorization submissions.

Are you ready to help your team work Prior Authorization Smarter?

Prior Authorizations streamline workflows and reduce delays, easing administrative burdens for both providers and patients.

Check out a Demo

ROI for Prior Authorization Automation AI

Monthly Prior Auth Metrics
Prior Auth Requests 7,000
Cost Saved (Staff Time)
(15 mins of time saved / request at $30/Hr)
$50,000
Revenue Recovered
(+1% approval and appeal rates at $500 / procedure)
$300,000
Appeal Cost Saved*
($43/appeal)
$25,000
Revenue from Avoided Cancellations
(2% cancellation rate improvement)
$70,000
Additional Revenue (Procedures)
($500 / procedure)
$35,000
Total Monthly Savings + Incremental Revenue $487,000
Total Annual Savings + Incremental Revenue $5,840,000

Fasten Authorization

Our intelligent authorization engine accurately determines if prior authorization is needed by referencing payer guidelines and CPT codes. APIs, EDI, and RPA bots automate follow-ups and provide real-time status updates, enabling timely patient communication and procedure scheduling. Effortlessly create and manage cases using intuitive filters, search, and sort options for streamlined workflow efficiency.

Prior Authorization Automation - Dashboard Feature Overview

Authorization Requirement

  • Leverages automation to determine if Prior Authorization is required
  • References comprehensive payer guidelines to align decisions
  • Incorporates the CPT code of the service to assess authorization requirements

Authorization Inquiry / Status​

  • APIs, EDI, and RPA bots handle follow-ups with payers for efficient communication
  • Provides up-to-the-minute updates on authorization status
  • Staff can access real-time information to keep patients updated on status
  • Timely updates enable procedures to be scheduled promptly

Create Case / Requests / Submission

  • Easily create new cases within the system
  • Use various intuitive filters to categorize and prioritize cases
  • Leverage robust search and sort options for quick access

Prior Authorization Automation AI that Supports Various Payers

Supports Complex and High Volume Requests

Infusions

Musculoskeletal (MSK)

Diagnostic Imaging

Injections

and more....

Impeccable AI Capabilities

  • Real time policy understanding
  • Patient medical history analysis
  • Automated clinical bundle
  • Intelligent submission
  • Proactive follow up &
  • Denial prevention

Designed to Align  with Major Payers

Staffing Solutions For Authorization

AI-trained staff streamline workflows, automating repetitive tasks and ensuring compliance with payer guidelines. They leverage AI-powered analytics for accurate decision-making, adapting to real-time updates for efficient process management.

Need to see our Prior Authorization Automation ?

One of our specialists will contact you for a personalized demonstration of Prior Authorization Automation AI Process.

Have a question?

+1 888-571-9069

Schedule Your Demo