Slash prior‑authorization turnaround times with intelligent automation
Agents that submit, monitor and appeal authorizations—reducing delays and freeing up clinicians.
Who it’s for
Healthcare administrators and revenue‑cycle leaders who want to speed up prior‑auth, reduce admin burden and avoid delayed care.
What it looks like in the field
- Routine requests processed same‑day; cycle times cut by up to 50% with better first‑pass approvals.
- Automation reduces staff time and reduces denials with standardized documentation.
Capabilities
- Intake and submission per payer rules
- Status monitoring, document uploads, appeals prep
- Risk flags for clinician review
- Automated comms with providers, payers and patients
How it works
- Connect EHR & payer portals
- Generate and submit requests
- Track statuses, gather docs, file appeals
- Analyze denials to improve compliance
Common integrations
EHRs, payer portals, fax/email, revenue‑cycle tools.
KPIs
Turnaround time, first‑pass approvals, denial rate, staff hours/auth, days in A/R.
Security & compliance
All PHI processed on‑prem; HIPAA support, audit trails and RBAC.
Rollout (4–8 weeks)
Map payer requirements; integrate EHR; pilot with high‑volume specialties; expand.
Recommended Utlyze tier & pricing
Autonomy Suite
Setup: — —/month
Full automation across payers & EHRs
FAQs
How does this reduce clinician workload?
Automation collects documentation and communicates with payers; clinicians intervene only on complex cases.
Will payers accept AI‑generated requests?
Requests adhere to payer formats and include required attachments; human oversight ensures compliance.
On‑prem processing, HIPAA alignment, human approvals for exceptions. Results vary by payer mix.