Front-End Solutions
Prior Authorization
Authorizations obtained before the date of service — clinical documentation compiled, submitted, tracked, and escalated by specialists.
Authorization operations
Approvals that arrive before the patient does
Approval performance
94
Approved pre-service
before date of service
48h
routine turnaround
6h
urgent / expedited
13 hrs
physician time returned weekly
Where the time goes · bottleneck analysis
The payer window is the only step we can't control — so everything before it happens in hours, not days.
AUTHORIZATION CASE BOARD · SAMPLE DATA
LIVE- 1.6 days
AUTH-2214 · MRI lumbar
● Approved
- 0.9 days
AUTH-2215 · PT eval + 12 visits
● Approved
- day 3
AUTH-2216 · Infusion series
◐ Peer-to-peer scheduled
- 2.1 days
AUTH-2217 · Sleep study
● Approved
- pending
AUTH-2218 · ABA reauth · 97153
● Filed 21 days early
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What this changes for your organization
Prior Authorization · performance standards
measured continuouslyapprovals secured before date of service
physician time saved weekly (AMA est.)
13 hrs
typical routine submission turnaround
48 hrs
Performance standards we operate to. Actual results vary by specialty, payer mix, and starting position — your free assessment establishes your own baseline.
Approved before the date of service
94% of authorizations secured pre-service — requirements screened at scheduling, documentation compiled by specialists, submissions tracked to decision.
AI-screened requirements
Payer-specific rules engines flag which services need auth the moment they hit the schedule — no more discovering requirements at billing.
Expirations tracked per patient
Unit burn rates and end dates monitored continuously for ongoing care — reauthorizations filed before treatment is ever interrupted.
Clinicians back to clinical work
Peer-to-peers scheduled, documentation compiled, portals worked — your providers show up only where their judgment is genuinely required.
The stakes
The problem, in numbers
The honest diagnosis — what this challenge actually costs healthcare organizations that leave it unmanaged.
13 hrs
per physician per week consumed by prior auth (AMA)
The most burdensome administrative task in medicine — clinical judgment spent arguing with portals instead of treating patients.
Delays
in authorization become delays in care — and lost revenue
Physicians overwhelmingly report that prior auth delays patient care. Every postponed procedure is clinical risk and an empty slot on your schedule.
Expiring
authorizations and exhausted units blindside ongoing care
For therapy and treatment plans, the auth you won last quarter quietly runs out mid-course — and the sessions delivered after it are unpaid.
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Get a free revenue assessmentOur solution
Prior authorization is the most burdensome administrative task in medicine — 13 hours per physician per week by AMA estimates. Our authorization team takes the entire workflow: identifying which services need approval, compiling clinical documentation, submitting through the right channel, and following up until approval lands.
We track every authorization against its date of service and escalate anything at risk — including peer-to-peer scheduling when payers push back. Expirations and unit exhaustion are monitored continuously for ongoing treatment plans.
What's included
- Payer-specific authorization requirement screening
- Clinical documentation compilation
- Electronic and portal-based submission
- Urgent and expedited request handling
- Peer-to-peer review coordination
- Expiration and unit tracking for ongoing care
In the field
How organizations like yours use it
USE CASE 01
An ABA provider hit zero unit-exhaustion denials for 14 months
Per-patient burn-rate tracking with reauthorization triggers means no child's therapy pauses and no delivered session goes unpaid — across the full 97151–58 code family.
USE CASE 02
A pain clinic stopped losing procedure days to pending auths
Auth screening at scheduling plus expedited-pathway escalation cut day-of-service cancellations for missing approval to nearly zero — the OR schedule finally holds.
USE CASE 03
An imaging center automated its advanced-imaging approvals
MRI/CT orders now trigger requirement checks and documentation packets automatically; routine approvals return in 48 hours and peer-to-peers are pre-scheduled for the rest.
Scenarios drawn from typical engagement patterns; identifying details anonymized to protect client confidentiality.
Common questions
Prior Authorization, answered
Related
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