Prior Authorization Management
Stop burning coordinator hours on phone holds, fax machines, and payer portals.
Prior auths are a bottleneck that delays care and drains staff.
Checking status with multiple payers, tracking expirations, resubmitting denials — all manual, across phone, fax, and portals.
Staff calls payers, sits on hold, logs into portals one by one. A single auth check can take 20–30 minutes. Multiply that by dozens per day.
Authorizations expire silently. Nobody tracks the dates until a claim gets denied. Procedures get delayed. Patients reschedule or leave.
Auth denials require manual appeal — gather documentation, write the letter, resubmit. Weeks pass. Some never get resubmitted.
Automated status checks, expiration alerts, and instant resubmission.
AI monitors every authorization across every payer — checking status, flagging expirations, and resubmitting denials without staff intervention.
Automated Status Checks
AI checks payer portals and phone systems automatically. Status updates flow into your workflow in real time. No more hold music.
Expiration Alerts
Every authorization tracked with expiration dates. Staff gets alerts before auths lapse. Procedures stay on schedule. Zero surprises.
Auto-Resubmission
Denied auths get corrected and resubmitted automatically. Documentation gathered, appeal letters generated. Staff notified when auths clear.
Typical results based on industry benchmarks. Individual outcomes vary.
Ready to take prior auths off your team's plate?
Whether you have a question, need a quote, or just want to learn more about how we work, we're here. We respond within a day, every time.
Or reach us directly at max@constanceit.com