The prior authorization template: what arrives, what we prepare, who decides, and what it costs.
This is the pilot template, not a customer story. No pilot has completed yet, so there are no results on this page. Below is what we do with each request, what a person decides, and what the pilot costs.
1. Choose the caseOne queue, one owner, one reviewer. The $499 design writes down the queue, its baseline volume, the approval gate, the exception path and the scorecard.
2. Generate the handoffFor each request we assemble the packet: what is missing, what the payer requires, who owns the next action. Nothing is sent to a payer by us.
3. Review and approveA biller or clinician approves, corrects or rejects every packet. A correction on one packet applies to the next.
4. Decide whether to expandAt the end of the month you read the scorecard against the baseline you set in step 1, and decide. The pilot is month to month.
Prior Authorization Intake Navigator
Flagship template
Who buys it: Revenue cycle director, practice administrator, prior authorization lead.
What arrives: A referral, order, or medication request arrives with payer-specific requirements and missing chart context.
What we need:
- Order or referral summary
- Payer requirement checklist
- Chart-note excerpt or missing-info note
- Due date and reviewer owner
What it produces:
- Missing-information checklist
- Reviewer-ready prior authorization packet outline
- Next action and accountable owner
- Human approval note before submission
Who decides: Biller or clinician reviews before anything is sent to a payer.
Judged on: Reduce days-to-submit and rework loops per authorization request.
Pilot template ready; private pilot connects payer-specific rules and approved data sources.
$499 once, then $2,500 a month.
The pilot design is $499, paid on Stripe, delivered as a written brief within five working days, and credited against the first month of the managed pilot.
The managed pilot is $2,500 a month with 400 completed items included, then $6 an item, invoiced monthly. A completed item is one packet a reviewer approved, with or without corrections; rejected packets are recorded and never charged.
We never log in to payer portals. We prepare the packet, and a person on your team submits it.
Scope this workflow for $499