Prior Auth Delays & Eligibility Errors leaking Revenues?

Our AI-powered workflow handles the repetitive, time-consuming parts of prior authorization and eligibility verification so our clinical team can focus on what matters. The AI auto-fills payer forms using your patient and insurance data, flags missing documentation before submission, routes each request to the right payer portal, and tracks status updates in real time. For eligibility verification, our system pulls upcoming patient schedules, runs batch verifications overnight, and pushes clean data straight into your EMR. You get a real-time dashboard showing every PA and EV status without your staff making a single phone call. It's AI doing the grunt work, backed by MDs, RNs, and PharmDs reviewing every case before it goes out.

Prior Authorization outsourcing means our trained clinical team handles your PA submissions, follow-ups, appeals, and renewals on your behalf. We integrate directly into your EMR and payer portals. Your staff hands off the PA request, and we take it from documentation gathering all the way through to approval. Most practices see same-day or next-day turnaround on submissions.

We pull your upcoming patient schedules daily and verify insurance coverage before the patient arrives. This includes confirming active coverage, plan type, copays, coinsurance, deductibles, and remaining benefits. If a procedure needs prior authorization, we flag it immediately. All verified data goes straight into your EMR and billing system so your claims go out clean from day one.

Most practices are fully onboarded within 1-2 weeks. We start with a 15-minute discovery call to understand your workflow, payer mix, and EMR setup. From there, we configure access, train our team on your specific protocols, and go live. Many clients see their first PA submitted within 48 hours of signing up.

Absolutely. We are HIPAA compliant, SOC 2 Type II certified, and ISO 27001 certified. Every team member signs a BAA and undergoes HIPAA training. We use end-to-end encryption, multi-factor authentication, and strict access controls. Regular third-party security audits verify our compliance at all times.

We handle all types: standard prior authorizations, retro-authorizations, peer-to-peer reviews, appeals for denied PAs, and ongoing renewals. Our clinical team includes MDs, RNs, and PharmDs who understand medical necessity documentation across 21+ specialties. We work with all major payers including commercial, Medicare, Medicaid, dental, vision, and workers' comp.

Three simple weekly rates: Single at $399/week (one specialist, single-location practice), Team at $349/week (5+ specialists, mid-size practice or health system region), and Enterprise at $299/week (10+ specialists, multi-location health system or PE-backed group). Each rate covers a dedicated PA + EV specialist for 45 hours per week, fully managed. No long-term contracts, no minimums, no hidden fees. 2-Week Free Pilot, BAA Signed.

We integrate with all major EMR systems including Epic, Athenahealth, Cerner, eClinicalWorks, AdvancedMD, NextGen, Dentrix, ChiroTouch, RevolutionEHR, and many more. If you use it, we can work with it. Our team is trained on 1500+ healthcare workflows across different platforms.