Prior Authorization Software and Automation for US Healthcare Organizations

Authorization requirements caught at the point of order

Authorization requirements are identified at the point of order, requests submitted, and status tracked to decision without anyone refreshing a payer portal. Catching the requirement at the order is the whole game: every day between the order and the request is a day added to the patient’s wait and to your days in AR.

Automated prior authorization, and what “automated” honestly means

Automation here means the checking, the submitting and the chasing stop being manual. It does not mean a payer approves anything faster because software asked — payers decide on their own timelines, and any vendor implying otherwise is selling you something they do not control. What changes is that nothing sits in a queue waiting for a human to remember it.

Electronic prior authorization instead of portal-by-portal

Every payer has its own portal, its own form and its own idea of what counts as supporting documentation. Working them one at a time is why prior authorization consumes the staff it does. Handling submission and status tracking in one place is the difference between a coordinator who works authorizations and a coordinator who works portals.

Tell us your top payers and we will walk through your current authorization workflow.

Who this is for

Practices where authorization volume has outgrown the person handling it. Billing companies carrying authorization work for multiple clients. Specialties where nearly every procedure needs one — imaging, orthopaedics, oncology, behavioural health, DME.

If prior authorization is one task among ten for one person at your front desk, you do not need a platform yet. You need the step to stop being invisible, and our service side is the cheaper answer.