Industries/Healthcare
Healthcare AI agents

The prior auth backlog stops being someone’s whole job.

Healthcare AI that tracks, prepares, submits, and chases prior authorizations automatically — so approvals stop bottlenecking care and your front office stops living on hold with payers. Patient intake handled too, without the hold music.

A week with the agent on

Mon 8:00amThe Monday phone queue answered in parallel — scheduling, reschedules, and refill routing — while your staff works the desk
Mon 9:30amEvery order needing prior auth flagged from the schedule; requirements pulled by payer, forms pre-filled from the chart
Wed 1:15pmTwo pending auths hit the payer’s follow-up window; status checks run automatically, one approval lands
Fri 12:00pmThe auth dashboard is green. Nobody spent their lunch on hold with a payer.
What we take over

Prior authorization automation — from order to approval, off your staff’s plate

Every practice manager knows the math: prior auth is hours of skilled staff time spent on payer websites and hold music, delaying care the provider already ordered. It’s repetitive, rule-based, deadline-driven — and automatable end-to-end.

01

Auths flagged before they bottleneck.

Orders and scheduled procedures that need authorization get identified from your schedule automatically — with each payer’s current requirements attached — days before they become an urgent problem.

02

Submissions prepared and filed.

Forms pre-filled from chart data, documentation checked for completeness, submissions filed through payer portals — with a human review step exactly where your compliance needs it.

03

Status chased until resolved.

Pending auths get checked on each payer’s cadence; stalls, denials, and requests for more information route to your staff with full context — no more ‘I’ll check on that Friday.’

04

Intake without the hold music.

Scheduling, reminders, forms, and the 8am Monday queue — answered in parallel so patients stop hearing ‘your call is important to us.’

Where to start

Prior auth, automated. One flat fee.

The most-hated job in a private practice, named and closed: from “order placed” to “authorization on file” — tracked, submitted, and chased without your staff on hold. Flat fee, live in about 30 days, month-to-month after.

Prior auth is where we start in healthcare — one piece of how an AI operations partner for service businesses runs the whole practice back office.

Flat fee — no per-auth charges
Live and working in about 30 days
HIPAA-aware architecture with a BAA as standard
Maintained by us afterward — month-to-month, no lock-in
Prior authorization automation, defined

Prior authorization automation identifies orders requiring payer approval, pre-fills and submits authorization requests with the payer’s current requirements, checks status on each payer’s cadence, and escalates denials or information requests to staff with full context — reducing skilled front-office hours spent on portals and hold queues.

Common questions

Asked by practice managers, answered straight

The system is architected around your compliance requirements from day one — access controls, audit trails, and a business associate agreement as standard. Compliance scoping happens in the consult, before anything is built.
We build inside your existing stack rather than replacing it — the automation reads from and writes to the systems your staff already uses, with human review steps wherever you require them.
No — the automation does the tracking, form-filling, submission, and chasing. Clinical judgment, edge cases, and payer escalations stay with your people, who now have the hours to handle them well.
One flat fee for the build, one flat monthly retainer to run and improve it. Exact numbers after a short call about your auth volume and payer mix.

How many staff-hours went to prior auth last week?

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