Prior authorization
Prior authorization, automated.
Docflow builds the request, submits it where the payer takes it, follows it to a decision and updates your system with the result. Around the clock, on your payer mix.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.
Auth PA-7781204 is on the order. Ready to deliver.
Auth PA-7781204 is on the order. Ready to deliver.
Four steps, every one on the record.
- 01
Build the request
From the order and clinicals: the right form, the right codes, every required document attached.
- 02
Submit it
On the payer's portal or by fax, using your team's logins, one-time codes included.
- 03
Follow it to a decision
Docflow checks back on a schedule and flags any request for more information right away.
- 04
Update your system
The decision and authorization number land on the right order, with a replay of every step.
Your payers. Their portals. Whatever you provide.
Prior auth works the same way whether you supply equipment, run a surgery center or see patients in a clinic: the payer sets the rules and the portal. Docflow submits wherever your payers take requests, and by fax on the payer's own form for everyone else.
Commercial plans
National and regional insurers, on their own portals or Availity.
Medicare Advantage
Plan portals and the benefit managers they delegate to.
Medicaid
State Medicaid and managed Medicaid portals, across all 50 states.
Medicare
Medicare contractor portals for the items and services that need prior auth.
Portals we submit on
- Availity
- UnitedHealthcare
- eviCore
- Carelon
- CareCentrix
- Cohere
- Noridian
- State Medicaid portals
- Fax, on the payer's form
New portals added every week. Need one that isn't listed? We add it during your pilot.
Search your payersIt doesn't stop at submitted.
Docflow checks back on every request until there's a decision, so approvals get acted on the day they land. Patients get their equipment or procedure sooner, and you bill sooner.
Status checks
Every open request checked on a schedule, and the decision written to the order as soon as it's in.
Requests for more information
Flagged the same day, with exactly what the payer is asking for.
Denials
Docflow reads the reason, flags what's missing and resubmits once it's fixed.
Re-auths
Renewals start before the current authorization expires, with the documents attached.
It never guesses on a clinical question.
Answers come from the patient's records. Anything Docflow can't confirm goes to your team with the reason, before the request is sent.
Sent to your team
Sleep study missing AHI
The CPAP request needs the AHI from the sleep study. The attached report doesn't include it. Upload it, or tell Docflow where to find it.
Prior auth questions.
Which payers do you submit to?
Commercial, Medicare Advantage, Medicaid and Medicare plans across all 50 states, on their portals or by fax. Search the full list on our coverage page.
How do logins work?
Docflow uses your team's logins, on dedicated accounts where the portal allows, stored encrypted. It handles email codes and authenticator apps itself.
What happens if a payer asks for more information?
Docflow catches it on the next status check and sends it to your team with what's being asked, so it gets answered before the deadline.
How fast can we start?
With a 30-day pilot on your real prior auths. If you're not satisfied, you get a full refund.
Start automating your prior auth submissions today.
See it run on your payers in a demo, then go live with a 30-day pilot.
This is how you try Docflow: a 30-day pilot, fully refundable if you're not satisfied.
Reserve your start week.
HIPAA compliant
SOC 2® Type 1Always on, always improving