Pre-Authorization Agent

39 prior auths per physician. Every single week.

Your staff spends 13 hours a week on hold with payers, chasing documentation, and resubmitting requests that should have been clean the first time. Your AI pre-auth agent handles the paperwork so your team can handle patients.

Book a Demo

The cost of pre-authorization, quantified.

13 hrs
Per week consumed per physician on prior auth. That's a full-time employee doing nothing else.
93%
of physicians say PA delays patient care. This isn't paperwork. It's patient harm.
$300K
Annual PA labor cost for a 12-provider clinic. Before a single claim is approved.

What a prior auth request actually looks like.

Every request is a maze. Most of it is waiting.

Day 1
Provider orders imaging. Staff pulls up the payer portal. Required fields are different from last time.
Day 1-2
Clinical notes need to be attached. Staff hunts through EHR for the right documentation.
Day 3
Submission sent. Automated response: 'Received.' No timeline given.
Day 7
Denied: missing clinical rationale. Staff resubmits with additional notes. Timer resets.
Day 14
Patient calls asking about their imaging appointment. Staff has no update.
With AlignBridge
Documentation gathered automatically. Submission complete with clinical rationale. Status tracked in real-time. Staff notified on approval.

What the agent handles.

The full prior auth lifecycle. Not just the submission.

Documentation Gathering

Pulls required clinical notes, lab results, and imaging reports automatically.

PA Submission

Submits requests to payer portals with complete documentation. No missing fields.

Status Tracking

Monitors every pending authorization. Alerts staff on approvals, denials, and expirations.

Denial Prevention

Validates submissions against payer requirements before sending. Catches errors early.

Payer Communication

Handles follow-up calls and messages with payer representatives. No more hold queues.

Compliance Checks

Ensures every submission meets regulatory requirements and payer-specific rules.

Batch Processing

Processes multiple PAs simultaneously. Prioritizes by urgency and patient impact.

Appeal Support

Generates appeal documentation with clinical evidence when denials occur.

The same clinic. Different prior auth process.

From manual faxes to automated submissions.

Manual fax
Auto
Submission method
13 hrs/week
< 3 hrs
Staff time consumed
85% clean
95%
First-pass approval
0 FTEs freed
3 FTEs
Staff redeployed

Stop paying people to wait on hold.

15-minute demo. See how your clinic handles prior auth without the pain.

Book a Demo