The Prior Authorization Platform that turns hours into minutes
The Prior Authorization Platform that turns hours into minutes
Our Mission is simple: save real hours, cut actual costs, and let clinicians focus on patient care instead of forms
On Average:
Practices complete 39 PAs per physician per week
40% of physicians have staff who work exclusively on PA
physicians spend 13h per week on PAs
On Average:
Practices complete 39 PAs per physician per week
40% of physicians have staff who work exclusively on PA
physicians spend 13h per week on PAs
On Average:
Practices complete 39 PAs per physician per week
40% of physicians have staff who work exclusively on PA
physicians spend 13h per week on PAs
and if the admin burden alone was not enough:
1 in 3 PAs are often or always denied
80% of them are never appealed - usually due to a lack of resources
and if the admin burden alone was not enough:
1 in 3 PAs are often or always denied
80% of them are never appealed - usually due to a lack of resources
and if the admin burden alone was not enough:
1 in 3 PAs are often or always denied
80% of them are never appealed - usually due to a lack of resources
The consequences are severe:
93% of physicians report care delays or abandonment due to PAs
89% of physicians are impacted by increased risk of burnout
the missed revenue is on average of $1M / physician / year
The consequences are severe:
93% of physicians report care delays or abandonment due to PAs
89% of physicians are impacted by increased risk of burnout
the missed revenue is on average of $1M / physician / year
The consequences are severe:
93% of physicians report care delays or abandonment due to PAs
89% of physicians are impacted by increased risk of burnout
the missed revenue is on average of $1M / physician / year
But where does the problem actually come from?
Over 70% of all PAs are processed manually, relying on payer websites, fax and phone calls. The only alternative is EDI (Electronic Data Exchange), which technical constraints block mass adoption (cannot handle technical medical data or attachments, heavy implementation costs, extremely limited integration with the rest of the healthcare infrastructure). As a result, Only 21% of PAs are currently fully digitised, creating the single biggest blocker to end-to-end automation.
Over 70% of all PAs are processed manually, relying on payer websites, fax and phone calls. The only alternative is EDI (Electronic Data Exchange), which technical constraints block mass adoption (cannot handle technical medical data or attachments, heavy implementation costs, extremely limited integration with the rest of the healthcare infrastructure). As a result, Only 21% of PAs are currently fully digitised, creating the single biggest blocker to end-to-end automation.
Breaking the Cycle: Introducing AuthoMate
AuthoMate connects the dots between the patient's history, the payer's medical guidelines and past denials, automating hours of manual PA work and uncovering what the payers actually need to see
True interoperability
We connect the entire chain of information, from the EHR to the payer, through the clearing houses
Operate in real-time with noisy medical data
We extract the relevant clinical evidence from inherently chaotic electronic health records, ensuring full compliance with the complex medical necessity guidelines
Deep reasoning and Analysis
By connecting patterns across historical submissions, we allow your team to uncover what really causes denials and how to automatically appeal them
True interoperability
We connect the entire chain of information, from the EHR to the payer, through the clearing houses
Operate in real-time with noisy medical data
We extract the relevant clinical evidence from inherently chaotic electronic health records, ensuring full compliance with the complex medical necessity guidelines
Deep reasoning and Analysis
By connecting patterns across historical submissions, we allow your team to uncover what really causes denials and how to automatically appeal them
Unify entire medical histories
We connect the entire chain of information, from the EHR to the payer, through the clearing houses
Operate in real-time with noisy medical data
We extract the relevant clinical evidence from inherently chaotic electronic health records, ensuring full compliance with the complex medical necessity guidelines
Deep reasoning and Analysis
By connecting patterns across historical submissions, we allow your team to uncover what really causes denials and how to automatically appeal them
The Entire PA Workflow - Reimagined
Embedded in medical practice, our approach fundamentally transforms healthcare delivery all across the patient journey:
No more admin burnout
Insurance Benefits check, PA submissions, appeal management - everything is automatically handled for your staff using the patient's entire medical history. No more manual data "copy/pasting" across multiple disconnected systems
Reduced Denials
We continuously analyse hundreds of medical guidelines for all major payers and craft each PA based on their specific medical necessity requirements
This is the end of arbitrary, unexplainable denials leaving your staff with the burden of appealing them.
Better, Faster Care
We cut admin processing time for doctors and medical staff, helping them manage the increasing volume of patients and focus on what they do best: delivering care
Let's change the way we do PAs
