The problem
Prior authorization eats your team's week.
39
Prior authorizations per physician, each week
13 h
Physician and staff time on PA each week
93%
Of physicians say PA delays patient care
40%
Of physicians have staff who work only on PA
Source: 2025 AMA Prior Authorization Physician Survey (1,000 physicians, surveyed December 2025).
How it works
Eight steps, one automated flow.
From the order in your EMR to a scheduled visit and a closed referral, without re-keying data into payer portals.
Order capture
Referral orders flow from your EMR the moment they are signed.
Eligibility + rules
Coverage verified; each plan's auth and document requirements checked.
One-click submit
Sent via EDI 278, payer FHIR APIs, or portal automation.
Track + follow up
Every request monitored; stalls escalated automatically.
AI record retrieval
Voice agents call outside offices to request the records payers need.
AI indexing
Documents extracted, scrubbed and filed in the right chart.
Auth back to EMR
Auth number, dates and units written to your EMR and PM.
Close the loop
Patient reminders, scheduling, and referral closure confirmed.
The hybrid model
AI does the volume. People handle the exceptions.
You don't wait for 100% automation to get value. Our operations team works the hard cases while the automation rate climbs.
Automation layer
Automate the repeatable work at scale.
- Payer rules engine, including NCCN guidelines for oncology
- EDI 278, FHIR API and portal automation
- LLM document extraction and classification
- AI voice agents for medical record retrieval
Exception team
People handle the cases that need human judgment.
- Peer-to-peer requests and additional documentation
- Payers without electronic submission
- Missing or conflicting patient data
- Every action logged for audit and review
Who it's for
Built for high-volume referral workflows.
Primary care practices
Consults, imaging, labs, echo and ports: the referral volume that buries front offices.
- Fewer calls and portal logins
- Referral loops closed
- Patients scheduled faster
MSOs and IPAs
One platform and one dashboard across every practice and location you support.
- Standard workflow across sites
- Turnaround and denial analytics
- Scales without adding staff
Specialty clinics
Oncology and psychiatry packs for high-value, documentation-heavy authorizations.
- Chemo and infusion auth tracking
- Continuous auth monitoring
- No lapses between cycles
ROI
See what your practice could save.
See how much your practice could save by automating prior authorization work.
Based on 13 hours of PA work per physician each week (AMA), a $25 loaded hourly staff cost, and 60% of that work automated. Your pilot measures the real numbers.
Practice savings calculator
Change the number of physicians below.
Automate. Accelerate. Authorize.
Reduce authorization turnaround, eliminate manual follow-ups, and reclaim clinician time with eAuthoraiz — trusted by clinics, MSOs, and oncology networks.
Basic plan includes
Multi-method submissions (API / SOAP / EDI / Manual)
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Easy document & auth uploads
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Real-time tracking dashboard
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Continuous follow-ups & instant status
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Basic workflow tools
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HIPAA-compliant secure data handling
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Email support & fast setup
All features in Basic, plus
- All Basic features
- AuthSnap integration
- Direct physician note uploads
- Automated follow-ups & escalations
- Advanced tracking & reporting
- Priority processing & dedicated support
All features in Premium, plus
- Everything in Pro
- Full prior-auth lifecycle management
- Automated referral tracking & follow-ups
- AI-driven calling agent (payers & patients)
- Smart record indexing & document automation
- Compliance-ready audit logs & reports
- No in-house manpower required — fully managed
All features in Pro, plus
- Everything in Premium
- AI-powered denial management & resubmissions
- Smart scheduling & rescheduling assistant
- Complete auth & referral automation
- Custom API / EDI integration
- Priority 24/7 support & enterprise security
- End-to-end automation — no in-house manpower required
Regulatory readiness
Payers go electronic in 2027. Be ready to use it.
CMS-0057-F requires impacted Medicare Advantage, Medicaid and federal-exchange plans to decide standard requests within 7 days and urgent within 72 hours, and to run FHIR Prior Authorization APIs by January 1, 2027. eAuthoraiz connects your EMR to those APIs as payers go live, and keeps EDI and portal routes for everyone else.
Decision transparency
Applicable 7-day standard and 72-hour urgent decision timeframes and specific denial reasons begin applying to impacted payers, subject to rule-specific exceptions.
Payer FHIR Prior Authorization API
FHIR Prior Authorization API requirements begin on the applicable payer compliance timeline.
Keep work moving
eAuthoraiz submits through available API, EDI 278, and portal workflows.
Security and compliance
Built for protected health information.
HIPAA program
Business Associate Agreements with every customer and sub-processor.
Encryption
PHI encrypted in transit and at rest on HIPAA-eligible cloud infrastructure.
Full audit trail
Every automated and human action is logged and reviewable.
SOC 2
SOC 2 Type I and Type II audits in progress through 2027.
FAQ
Questions practices ask us.
What does eAuthoraiz automate?
Order capture, eligibility and payer-rule checks, authorization submission, status tracking, outside-record retrieval, document indexing, EMR updates, and referral closure.
Do we need 100% automation to get started?
No. The hybrid model combines automation with an operations team that handles exceptions and difficult cases.
Which workflows does eAuthoraiz support?
High-volume referrals for primary care practices, MSOs and IPAs, and specialty clinics including oncology and psychiatry.
How does eAuthoraiz connect to payers?
Through available EDI 278, payer FHIR APIs, and portal automation workflows.
Stop Losing Revenue to Delayed Prior Auths
Get started today and see the impact in your revenue cycle.
Book Demo
Schedule a quick demo to see how eAuthoraiz saves time, reduces denials, and boosts collections.
