Prior Authorization

Prior authorization vendors help providers determine whether a prior auth is required, efficiently create and submit the request, and monitor its status. Solutions in this space are focused on digitizing and simplifying the prior authorization process, reducing the administrative overhead and reducing the time required to receive a decision.

Prior Authorization solutions are typically used by practice administrators, and basic prior auth functionality is often bundled within EHRs or RCM solutions. There are also a number of standalone prior auth solutions, which offer more advanced functionality designed to further speed up the process and avoid denials.