Prior authorization automation

PRIORAUTH.AI

PRIORAUTH.AI

Slash your coding costs and improve claims accuracy

Outcomes

Combat rising prior auth costs, reduce administrative burden,
and prioritize patient outcomes

PRIORAUTH.AI uses deep learning to automate clinical procedure identification from unstructured medical records. The algorithm then matches the identified procedure to the prior auth list of the respective payor to garner proper approvals automatically. Payors can also leverage PRIORAUTH.AI to automate approval or denial of incoming prior authorization requests in real-time.

Combat rising costs

Prior authorization is the costliest administrative transaction for providers, with providers spending nearly $11 on each prior authorization done manually in 2019 (according to the Council for Affordable Healthcare). PRIORAUTH.AI significantly reduces the cost of prior authorization identification and submission by automating the entire process, end-to-end.

Reduce administrative burden

With an average of 31 weekly prior authorization requests per physician, more than a third of providers employ staff members who work exclusively on prior authorization (per the AMA). PRIORAUTH.AI enables providers to significantly reduce administrative strain on their staff. Imagine freeing up hundreds, if not thousands of additional man-hours by automating prior authorization identification and submission.

Prioritize patient outcomes

More than 9 in 10 physicians say that prior authorization delays have a negative impact on patient clinical outcomes (per the AMA). PRIORAUTH.AI leverages automation to reduce prior authorization delays and enable providers to focus on what truly matters: caring for patients.

PriorAuth.Ai

Product functions and more
screenshots here

CodingAI Screenshot

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KPI

PriorAuth.Ai's Key Performance Indicators

Bringing decades of experience in artificial intelligence
and machine learning to solve problems

3%-7.5%

Case Mix Index

30%-50%

Case Denials

20%-40%

Coder Productivity

CodingAI Screenshot

Reduce cost, Increase efficiency
and Improve patient care

PriorAuth.Ai automates the majority of your coding volumes, resulting in more accurate claims, fewer denials, and higher reimbursements--guaranteed by industry-leading SLAs.

CodingAI Screenshot

Reduce cost, Increase efficiency
and Improve patient care

PriorAuth.Ai automates the majority of your coding volumes, resulting in more accurate claims, fewer denials, and higher reimbursements--guaranteed by industry-leading SLAs.

CodingAI Screenshot

Reduce cost, Increase efficiency
and Improve patient care

PriorAuth.Ai automates the majority of your coding volumes, resulting in more accurate claims, fewer denials, and higher reimbursements--guaranteed by industry-leading SLAs.

API

Powerful API Primitives

PriorAuth.Ai automates the majority of your medical coding volumes, resulting in more accurate claims, fewer denials and higher reimbursements -- guaranteed by industry-leading SLAs

<Message> using custom app logic

Webhooks allow your app to develop custom logic for every response. Build nearly any workflow you can imagine.

Send pictures with <Media>

Send and receive pictures on all U.S. and Canadian phone numbers.

Realtime status webhooks

See every step your message takes as it traverses the global telecom network.

<Message> using custom app logic

Webhooks allow your app to develop custom logic for every response. Build nearly any workflow you can imagine.

Send pictures with <Media>

Send and receive pictures on all U.S. and Canadian phone numbers.

Realtime status webhooks

See every step your message takes as it traverses the global telecom network.

API V2

Powerful API Primitives

CodingAI Screenshot

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FAQ

PriorAuth.Ai Frequently Asked Questions

RCM is the entirety of the medical billing process for a practice. This in clouds claims, billings, and receivables from the time the patient leaves your office to when your practice receives payment and the outstanding balance fro services equals $0. Every claim has its own life cycle and the practice can either handle their own billing or outsource it to a RCM service like DrChrono RCM.

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Learn more about PRIORAUTH.AI

Schedule a demo today to see prior authorization automation in action.