prior auth automation

Prior auths shouldn't take 4 days. We make them take 4 minutes.

Automated prior authorization for high-volume diagnostic testing — submission, status, and appeal in one continuous flow.

20 minutes. No pitch. Just the architecture.

median TAT

PA turnaround time

4 min
week 1 week 12

the problem

Your PA team is probably bouncing between five payer portals, re-keying the same patient demographics, waiting on hold for status updates, and chasing CPT-LOINC mismatches by hand. By the time the auth comes back, the specimen has aged or the patient has rebooked. Meanwhile every borderline denial gets re-submitted manually — if it gets resubmitted at all.

how it works

Three agents, one clean handoff.

01

Auto-fill payer-specific forms

Pulls patient demographics, ordering provider, CPT codes, and clinical justification from your order system. Submits the right form to the right payer in seconds.

02

Parallel status tracking

Checks status across every active PA in parallel — APIs where they exist, portal automation everywhere else. Surfaces only what's changed since yesterday.

03

Auto-draft appeals

When a borderline denial comes back, we draft the appeal letter using the payer's stated criteria and your clinical documentation. Your reviewer signs off and submits.

  • HIPAA-compliant
  • Runs in your AWS / Azure / GCP
  • Per-claim audit log
  • Works with XIFIN + 6 other billing platforms
Karl Mielnicki

from the team

Hi, I'm Karl Mielnicki.

I lead prior authorization automation at Flobotics. Book 20 minutes — I'll walk through the architecture, not a sales deck.

Book 20 minutes with Karl