§ ∞ Prior authorization

Prior auth, end-to-end — packet to approval.

From packet assembly through submission and follow-up. Built for the payer mix and product mix you actually have.

Faster cycle times
3×
First-pass approval
94.7%
Submissions & status checks
24/7
§ 01 How it runs

Three stages. Every one of them logged.

  1. 01

    Packet built

    We assemble the full PA packet from the order, clinicals, and payer-specific requirements — no manual stitching, no missing attachments.

  2. 02

    Submitted to payer

    Across payer portals, clearinghouses, and fax. We handle the quirks — captcha, multi-page wizards, format-specific uploads — so your team doesn't have to.

  3. 03

    Status monitored

    We watch the decision, escalate exceptions, and resubmit on denials. Every step logged, every transition replayable.

§ 02b See it run

Every run, fully traced — from referral to receipt.

Docflow runs aren't black boxes. Each step is a logged event you can replay, audit, or hand to a payer. The screenshot below is a real workflow — abbreviated, but real.

Run · WF-PRIOR-AUTH · #4291
Approved
  1. intake.parse Referral 4291 · UHC · CPAP
  2. patient.match Anders, M. · DOB 1962-11-04
  3. policy.lookup UHC commercial · prior-auth required
  4. packet.assemble Clinicals + LMN + face-to-face notes
  5. portal.submit UHC portal · receipt #UHC-77831
  6. portal.ack Status: under medical review
  7. portal.decision Approved · auth #A0921-44Q
  8. brightree.write SO 8421 · auth attached
actor:agent → 5 steps · actor:payer → 2 steps · cycle: 38m 09s Live trace

  • Cycle time

    38m 09s

    Most runs complete inside one hour. Some are seconds.

  • Steps logged

    8 / 8

    Actor, payload, timestamp, decision — every one.

  • Retries

    0

    Idempotent design. Failures isolate, never cascade.

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HIPAA-compliant · BAA included · No legacy commitments