Clinic Inputs
Defaults are based on common specialty clinic patterns and public benchmark data.
Healthcare Demo
Book an AI Prior-Authorization Copilot Demo
Built for cardiology, oncology, GI, and imaging clinics. We show exactly how to reduce prior-auth admin load, improve submission quality, and speed decision cycles.
Staff Time Savings
Targeted reduction of repetitive prior-auth work
Faster Submissions
Auto-filled forms and attachment checks
Denial Prevention
Flags likely denials before submission
Appeal Support
Drafts appeal packets when denied
ROI Estimator
Estimate Your Prior-Auth Savings Opportunity
Use baseline numbers to estimate monthly labor cost and a projected 30% efficiency improvement scenario.
Estimated Monthly Impact
Total Requests / Month: 0
Current Admin Hours / Month: 0
Current Admin Cost / Month: $0
Projected 30% Hours Saved: 0
Projected 30% Cost Saved: $0
This estimator is directional and should be validated during discovery.
Market Pressure
Why Clinics Are Prioritizing This Now
AMA (Apr 24, 2025)
Practices reported an average of 39 prior-auth requests per physician/week and 13 staff hours/week on this process.
KFF (Jan 28, 2026)
Medicare Advantage saw about 53M prior-auth requests in 2024 and roughly 4.1M denials.
CMS Timeline
Key operational provisions started January 1, 2026 with additional API-related compliance dates beginning January 1, 2027.
Sources: AMA survey summary, KFF analysis, CMS final rule fact sheet
FAQ
Common Questions From Clinic Teams
Will this replace our existing authorization staff?
No. The goal is to remove repetitive workload so staff can focus on exception handling and higher-value work.
Can it handle multiple payer portals?
Yes. The workflow is designed to support multi-payer tracking with status visibility and escalation paths.
How long does implementation take?
Typical pilot rollouts can begin in weeks depending on systems, integration scope, and clinic readiness.