Insurance Pre-Authorization Follow-Up
Stop chasing insurance companies. Let the system do it.
Typical ROI
3-5x in Year 1
Implementation
4-6 weeks
Industries
PT clinics +
The Problem
Prior authorization is one of the most time-consuming, revenue-limiting workflows in healthcare. Staff manually submit requests, call insurance companies to check status, resubmit denied claims, and track everything in spreadsheets. Treatments are delayed. Revenue is stuck in limbo. Experienced staff spend 2–3 hours per day on authorization work that generates zero clinical value.
What We Build
Authorization identification — When a treatment plan is created, AI identifies which services require prior authorization based on the patient's insurance.
Request preparation — AI pulls required clinical documentation, fills out payer-specific forms, and packages the submission.
Submission and tracking — Authorization requests are submitted electronically and tracked in a central dashboard. Status is monitored automatically.
Follow-up automation — If no response after 3 business days, AI triggers a follow-up. Escalation activates for delays beyond payer timelines.
Denial management — Denials are automatically analyzed, appeal documentation assembled, and the appeal submitted with supporting clinical evidence.
Provider notification — When authorization is approved, the provider and scheduling team are automatically notified and the appointment is booked.
Common Integrations
Example Scenario
A 6-provider physical therapy practice submits 80–100 prior authorization requests per month. Their two billing staff spend 12 hours per week on auth status calls and resubmissions. Treatment delays from pending auths average 8 days. We build an authorization tracking and follow-up workflow that monitors every open auth, automatically follows up at days 3 and 5, escalates denials for appeal, and notifies scheduling the moment an approval comes through. Billing staff time on auth work drops from 12 to 3 hours per week. Average auth approval time decreases from 8 days to 4.5.
Ready to Build This for Your Business?
Book a free discovery call. We'll map your workflow and give you a concrete ROI projection.
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