Prior Authorization Follow-Up Agent

Agents automate payer follow-up, send updates to your EMR, and speed up patient access to care.

AUTOMATION AGENT

Automate prior authorization status follow-ups with ease

There may be times when staff initiate an authorization but lack the bandwidth to continuously check for updates—leading to delays and administrative strain.

Our Prior Authorization Follow-Up Agent bridges the gap by ensuring seamless tracking of already initiated authorizations.

This specific agent eliminates these inefficiencies by automating high volume status checks with accuracy through connections with payer portals and TPAs. This ensures real-time updates in your EMR, reducing administrative burden and improving workflow efficiency.

Part of Patient Access Plus, this agent works with the prior authorization initiation agent to perform authorization follow-ups in a way that aligns with your existing workflows.

automatic AUTHORIZATION UPDATES

Payer responses delivered directly to your EMR

Automatically track prior authorization requests and receive timely status updates—without staff intervention.

  • Powered by a robust set of payer connections, the follow-up agent eliminates manual logins and authorization checks by pulling real-time updates directly into your system.
  • Instant EMR updates ensure approved, denied, or pending statuses are reflected automatically, keeping staff informed.
  • Scalable automation handles high volumes of authorizations, reducing administrative workload.

With near real-time updates, you can ensure accurate authorization tracking while reducing the need for manual follow-ups.

HOW IT WORKS

A fully automated solution for tracking authorization status

Once a prior authorization request is submitted, our automation agent takes over, ensuring timely updates and reducing manual effort.

EMR triggers prior authorization agent

When an authorization request status changes (e.g., Pending Review), the automation agent is automatically assigned the follow-up task.

Authorization status retrieval

The agent retrieves the latest status (Approved, Denied, or Pending) directly from the TPA or payer portal.

Instant system update

Your EMR is automatically updated with the latest authorization status, ensuring timely visibility for your staff.

Ongoing follow-ups

For unresolved cases, the agent re-engages at set intervals (e.g., every 6 hours) until a final decision is reached.

With continuous tracking and automated updates, your team can rely on authorization status without manual intervention.

API CONNECTIONS

Third Party Administrator Connections

Our prior authorization follow-up agent uses a mix of API connections and intelligent automation to obtain responses from all major insurance providers. Explore details below.

AGENT WITH AVAILITY

Prior Authorization Follow-Up Agent with Availity

AGENT WITH EVICORE

Prior Authorization Follow-Up Agent with Evicore

EDUCATION

Helpful resources for your team

We create educational materials frequently in the form of virtual office hours, articles, white papers, webinars and podcast episodes which help our clients and peers with common revenue cycle administrative burdens and challenges they face. If you would like us to address a specific topic, feel free to reach out to us.

ARTICLE

5 Reasons Revenue Cycle Automation is Essential for Every Healthcare Provider

ARTICLE

AI Agents vs. Automation Agents: Which Is Right for Your Revenue Cycle Workflows?

On-Demand Webinar

Automate And Elevate RCM To Solve Radiology Staffing Woes

Ready to automate prior authorization status checks?

Eliminate manual follow-ups to retrieve real-time updates, reducing administrative workload and ensuring accurate information in your EMR. Schedule a demo to learn more.