Meet Authra

Agentic Intelligence for Prior Authorization

Prior Authorizations shouldn't delay care. They should precede it.

90%

reduction in authorization time

60%

reduction in staff workload

50%

reduced denial rate

See Authra in action

Curious about Authra's capabilities?

Fast-track your pre-auth process.

STEP 1

Coverage Verification

Steve checks patient's insurance details and verifies if the requested service requires prior authorization based on the payer's rules and the patient's plan.

STEP 2

Documentation Review

Steve automatically reviews all clinical documents, ensuring required records, medical necessity justification, and correct diagnosis/procedure codes are present for the authorization request.

STEP 3

Authorization Submission

Authra submits the pre-authorization request with all necessary documentation to the payer. If any information is missing, Steve automatically drafts emails to request it from the referring facility.

STEP 4

Status Monitoring

Authra tracks the authorization status and immediately notifies the team of approvals or denials. For denials, Authra provides detailed reasons and assists with resubmission or appeals process.

Next-Gen Pre-Auth: Streamlining Care Authorization

Eliminating Authorization Bottlenecks with AI

Core intelligence

Voice Portal Navigation	Automated prior authorization via direct payer calls, handling complex approval workflows and clinical requirements
Multi-Channel Submission Engine	Parallel submission across payer portals, phone systems, and fax with unified tracking
Universal Rules Engine	Dynamic adaptation to payer-specific requirements with automated clinical documentation matching
Intelligent Appeal System	Self-improving denial management with automated evidence collection and appeal generation

Engineering Excellence

Clinical Data Orchestration	Automated extraction and mapping of clinical evidence to authorization requirements
Real-time Status Monitor	Sub-second synchronization across all payer channels with unified status tracking
Smart Denial Prevention	Proactive validation of clinical documentation against payer requirements before submission
HIPAA-Compliant Architecture	End-to-end encryption and secure PHI management

ROI Accelerators

Resource Optimization	85% reduction in manual authorization time with automated submission
Quality Assurance	>95% first-pass authorization success rate through intelligent validation
Volume Scaling	Seamless handling from 10 to 10,000+ monthly authorizations
ROI Metrics	Real-time dashboard tracking verification success rates, processing times, and cost savings