Next-Gen

Prior Authorization

Xoodoc Automated Prior Authorization

Instantly detects prior-auth by code and payer, attaches clinical criteria, and prefills submission packets, then submits and tracks to approval.

Agent running: Xoodoc Prior-Auth AI
  1. Order & patient verified. Encounter, provider, and patient identity matched; CPT/HCPCS/ICD linked to the order. 6.3 seconds
  2. Policy located. Plan active; payer rules retrieved; prior-auth matrix mapped to codes and place of service. 11.9 seconds
  3. Clinical criteria gathered. Pulls chart notes, imaging, therapy history, and medical necessity; flags missing evidence. 15.4 seconds
  4. Packet prefilled. Payer-specific PA form prepared; structured documentation bundled for instant upload. 18.7 seconds
  5. Submission placed. Sent via portal/API; reference ID captured; smart follow-up timers scheduled. 22.2 seconds
  6. Status tracked. Approval/denial monitored in real time and returned to the EHR with a full audit trail. Completed

Built for Prior Authorization

Our agent checks prior-auth requirements end to end, maps payer policies to each order, gathers clinicals, and prefills the forms, then delivers a complete packet into your workflow. No portal hopping and no guesswork — just clear submit or not guidance with live status tracking.

Xoodoc AI

The Xoodoc Prior-Auth Platform

Automate prior authorization—detect requirements, gather clinicals, prefill forms, submit and track to approval with compliant AI.

Ready to Automate Prior-Auth?