Stop tracking open auths in your head
Submitting the request is only the start. After that, someone checks the payer portal every day or two, calls when the status has not moved, learns a clinical note is missing, pulls it from the chart, and sends it again.
Every open request becomes a small project, tracked in someone's head or a spreadsheet. When that person is out, cases stall and procedures get rescheduled.
Close every loop before the procedure slips
Requests stay open for days
Each case needs several touches before a decision, so the open list never gets shorter.
Payers keep asking for more
Missing clinicals and new forms restart the clock and send staff back into the chart.
Delays reach the patient
A request that sits unchecked turns into a rescheduled procedure.
Let agents chase every auth until it is approved
Clicks handles
- Determines whether the payer requires an authorization for the procedure
- Submits the request in the payer portal with the clinicals from the chart
- Checks status on a schedule and calls the payer when it stalls
- Sends missing records when the payer asks for them
- Updates the case in your EHR or work queue and flags approvals and denials
Your team keeps
- Medical necessity decisions
- Peer-to-peer reviews
- Complex authorization appeals