Prior auth, end-to-end — packet to approval.
From packet assembly through submission and follow-up. Built for the payer mix and product mix you actually have.
- Faster cycle times
- 3×
- First-pass approval
- 94.7%
- Submissions & status checks
- 24/7
Three stages. Every one of them logged.
- 01
Packet built
We assemble the full PA packet from the order, clinicals, and payer-specific requirements — no manual stitching, no missing attachments.
- 02
Submitted to payer
Across payer portals, clearinghouses, and fax. We handle the quirks — captcha, multi-page wizards, format-specific uploads — so your team doesn't have to.
- 03
Status monitored
We watch the decision, escalate exceptions, and resubmit on denials. Every step logged, every transition replayable.
Every run, on the record — from referral to receipt.
No black boxes. Each step is a logged event you can replay, audit, or hand to a payer. Below is an abbreviated audit trail from a real prior-auth workflow.
- intake.parse Referral 4291 · UHC · CPAP
- patient.match Anders, M. · DOB 1962-11-04
- policy.lookup UHC commercial · prior-auth required
- packet.assemble Clinicals + LMN + face-to-face notes
- portal.submit UHC portal · receipt #UHC-77831
- portal.ack Status: under medical review
- portal.decision Approved · auth #A0921-44Q
- brightree.write SO 8421 · auth attached
-
Cycle time
38m 09s
Most runs complete inside one hour. Some are seconds.
-
Steps logged
8 / 8
Actor, payload, timestamp, decision — every one.
-
Retries
0
Idempotent design. Failures isolate, never cascade.
Plugs into the systems you already use
Cut PA cycle time today.
Show us your hardest payer × product combo. We'll show you what Docflow does with it.
HIPAA-compliant · BAA included · No legacy commitments