Services

Prior Authorization

End-to-end execution, from clinical evidence collection to final payer decision

Interactive Dashboard

Every prior auth we submit for you can be accessed in your dashboard. This one has sample data - click around to get a feel for the experience.

hivemindRevenue Cycle · Prior AuthorizationLive — synced 2 min ago

Track where each authorization sits in the workflow and open it for stage-level review.

2.4Median days to decision

94%First-pass approval rate

Sample Health Plan · sent 12 Mar
1. 12 MarSubmitted to the payer
2. 12 MarReceipt confirmed
3. 14 MarClinical review in progress
Decision expected within 2 days
Northlake Mutual · sent 11 Mar
1. 11 MarCoverage checked against the plan
2. 13 MarBenefits confirmed, packaging the request
Goes to the payer once the imaging order is attached
Sample Health Plan · sent 13 Mar
1. 13 MarSubmitted to the payer
2. 14 MarPayer asked for a peer-to-peer review
3. 14 MarCall booked with the surgeon
Peer-to-peer 18 Mar, 10:30 — nothing needed from your team
Valley State Medicaid · sent 10 Mar
1. 10 MarSubmitted to the payer
2. 12 MarPayer asked for prior imaging
3. 13 MarRecords located and sent
Waiting on the payer since 13 Mar — chased daily
Northlake Mutual · sent 08 Mar
1. 08 MarSubmitted to the payer
2. 11 MarNo response past the plan’s own turnaround
3. 13 MarEscalated to the payer’s provider line
4. 14 MarReference number issued, supervisor assigned
Escalated — we will call you before we involve your team
Cedar Ridge Health · sent 14 Mar
1. 14 MarChecking whether the plan requires an authorization at all
Some of these need no authorization — we check before filing one
Sample Health Plan · sent 13 Mar
1. 13 MarSubmitted to the payer
2. 13 MarReceipt confirmed
Checked twice daily until a decision comes back

Showing 7 of 42 open authorizations · Sample data

A sample of the real thing. Every name, organization and reference number in it is invented.

Proactive SubmissionCompleted before the form is ever initiated

Reactive SubmissionCompleted once the prior auth is received

AI-Enabled CompletionForm is completed within minutes, leveraging the patient chart

SubmissionAcross whatever clearinghouses/portals you already use, including fax as required

Tracking24/7 status tracking

Approved or Denied?

ApprovedCare ContinuesPatient proceeds as scheduled, info is shared with the care team

DeniedDenialsDenial reason is root-caused and an appeal is prepared

Let's talk about your team.