Submitted. Chased. Approved.
How it works
Assembles the documentation
Pulls the order and the supporting clinical documents the payer requires, and checks the request is complete before anything is sent.
Submits to the payer
Files the prior authorization in the payer portal, attaches the documentation, and logs the reference number back to the chart.
Chases to a decision
Follows up by portal and phone until it's approved, identifies exactly what's missing when it stalls, and hands appeals to staff with the full file.
From order to submitted, end to end
It reads the order, gathers the clinical documentation the payer requires, submits the prior authorization in the portal, and logs the reference number - then takes over the status chase.
Works in the tools you already use
Availity
Change Healthcare
Epic
athenahealth
Waystar
SlackFrequently asked
No. It assembles the documentation the ordering provider and payer require, submits it, and chases the status - but the clinical justification and any appeal argument stay with your staff. It handles the logistics, not the medicine.
This is the part teams hate most: it follows up by portal and phone, and when an auth stalls it pins down exactly what the payer is missing - a document, a code, a note - so it can be fixed fast instead of sitting for days.
It captures the denial reason, attaches the full submission history, and hands it to staff to decide on an appeal - with everything assembled, so the appeal starts from a complete file rather than a cold start.
Your clearinghouse and EHR - Availity, Change Healthcare, Epic, athenahealth - and the payer portals you already use. It works the way an auth specialist would, scoped to your compliance requirements.
Your first AI employee
is one call away
Caesar will call you right now, introduce himself, and show you exactly how this works.