Accelerate Authorizations with AI-Powered Automation
Intelligent prior authorization with ML-powered routing, direct payer integration, AI voice agents, and automated appeal management. Streamline your authorization workflow.
Complete Authorization Lifecycle
Track every authorization through its complete journey with real-time status updates and automatic progression.
Enterprise Prior Authorization
Three-phase automation system designed for competitive parity with market leaders.
Smart Auto-Approval
ML-powered prediction engine analyzes requests and automatically routes approvals based on configurable rules and historical patterns.
Direct Payer Integration
Real-time connections to major payers including UHC, Anthem, Aetna, Cigna, Humana, and Medicare for instant status updates.
Policy Intelligence AI
NLP-powered policy extraction analyzes payer requirements, matches clinical criteria, and identifies documentation gaps.
AI Voice Agents
Intelligent voice agents handle routine payer calls, check status, and escalate complex issues to your team.
Streamlined Authorization Process
AI-assisted workflow from request creation to final approval.
Request Created
PA initiated from order
AI Analysis
Policy & criteria matched
Submitted
Sent to payer
Approved
Authorization received
Enterprise-Grade Capabilities
Built for healthcare organizations that demand the best in authorization management.
EDI 278 & FHIR PAS
Full support for electronic prior authorization standards including X12 278 transactions and FHIR Prior Auth Support.
Appeal Management
Comprehensive appeal workflow with AI-powered letter generation, deadline tracking, and outcome analytics.
Gold Card Program
Track provider performance and identify gold card opportunities for expedited approvals with high-performing payers.
Why Choose Our PA Solution
Purpose-built for healthcare organizations that demand enterprise-grade PA management.
Real-time Status
Instant updates from payer portals and EDI
Clinical Criteria
InterQual/MCG guidelines integration
SLA Management
Track turnaround times and deadlines
Smart Notifications
Multi-channel alerts for status changes
PA Analytics
Approval rates, denial reasons, trends
Workflow Rules
Configurable routing and escalation
Transform Your Authorization Process
- Reduce authorization turnaround time significantly
- Decrease denial rates with proactive documentation
- Free up staff from manual payer calls
- Improve patient care with faster approvals
- Complete visibility into PA pipeline
Standards & Compliance
Ready to Accelerate Authorizations?
See how our AI-powered prior authorization can transform your approval process. Schedule a personalized demo today.